JAMIE KATHLEEN TAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135428

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

KATHLEEN

Last Name

TAVIS

Business Name

JAMIE KATHLEEN TAVIS

Original Issue Date

03/27/2001

Effective Date

03/27/2001

Expiration Date

03/31/2002

City

BARTLETT

State

Zip

60103

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005