TARA L PARHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154048

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

PARHAM

Business Name

TARA L PARHAM

Original Issue Date

04/08/2004

Effective Date

04/08/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005