LACONDA LYNN TATUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143898

License Status

NOT RENEWED

Business

First Name

LACONDA

Middle

LYNN

Last Name

TATUM

Business Name

LACONDA LYNN TATUM

Original Issue Date

07/29/2002

Effective Date

07/29/2002

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005