TATUM K DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140583

License Status

NOT RENEWED

Business

First Name

TATUM

Middle

Last Name

DAVIS

Business Name

TATUM K DAVIS

Original Issue Date

02/06/2002

Effective Date

02/06/2002

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005