MAVIS J TATE - Pharmacist License in Illinois | # 049147126

MAVIS J TATE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147126

License Status

NOT RENEWED

Business

N

First Name

MAVIS

Middle

J

Last Name

TATE

Business Name

MAVIS J TATE

Original Issue Date

02/20/2003

Effective Date

02/20/2003

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005