TATUM K DAVIS - Pharmacist License in Illinois | # 049140583

TATUM K DAVIS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140583

License Status

NOT RENEWED

Business

N

First Name

TATUM

Middle

K

Last Name

DAVIS

Business Name

TATUM K DAVIS

Original Issue Date

02/06/2002

Effective Date

02/06/2002

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005