TABITHA PATRICE WASHINGTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153476

License Status

NOT RENEWED

Business

First Name

TABITHA

Middle

PATRICE

Last Name

WASHINGTON

Business Name

TABITHA PATRICE WASHINGTON

Original Issue Date

03/05/2004

Effective Date

02/14/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012