MAVIS J TATE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147126

License Status

NOT RENEWED

Business

First Name

MAVIS

Middle

Last Name

TATE

Business Name

MAVIS J TATE

Original Issue Date

02/20/2003

Effective Date

02/20/2003

Expiration Date

03/31/2005

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005