LA SHANDA N TATUM - Pharmacist License in Illinois | # 049118748

LA SHANDA N TATUM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118748

License Status

NOT RENEWED

Business

N

First Name

LA SHANDA

Middle

N

Last Name

TATUM

Business Name

LA SHANDA N TATUM

Original Issue Date

08/28/1997

Effective Date

08/28/1997

Expiration Date

03/31/2002

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005