AGATHA LUCY TABOR - Pharmacist License in Illinois | # 049115113

AGATHA LUCY TABOR

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115113

License Status

NOT RENEWED

Business

N

First Name

AGATHA LUCY

Last Name

TABOR

Business Name

AGATHA LUCY TABOR

Original Issue Date

08/29/1996

Effective Date

08/29/1996

Expiration Date

03/31/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005