KENVADA TABOR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138634

License Status

NOT RENEWED

Business

First Name

KENVADA

Last Name

TABOR

Business Name

KENVADA TABOR

Original Issue Date

10/10/2001

Effective Date

10/10/2001

Expiration Date

03/31/2003

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005