DIANE MARIE TATUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128584

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

MARIE

Last Name

TATUM

Business Name

DIANE MARIE TATUM

Original Issue Date

12/15/1999

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2009