DAVID H TARLOV Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153330

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

TARLOV

Business Name

DAVID H TARLOV

Original Issue Date

02/26/2004

Effective Date

02/26/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005