LA SHANDA N TATUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118748

License Status

NOT RENEWED

Business

First Name

LA SHANDA

Middle

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

City

TINLEY PARK

State

Zip

60487

County

WILL

Ever Disciplined

LastModifiedDate

12/06/2005