JAMIE KATHLEEN TAVIS - Pharmacist License in Illinois | # 049135428

JAMIE KATHLEEN TAVIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135428

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

12/06/2005