TABITHA PATRICE WASHINGTON - Pharmacist License in Illinois | # 049153476

TABITHA PATRICE WASHINGTON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153476

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012