DAVID E TABOR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156595

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

TABOR

Business Name

DAVID E TABOR

Original Issue Date

08/12/2004

Effective Date

03/17/2011

Expiration Date

03/31/2012

City

LYONS

State

Zip

60534

Ever Disciplined

LastModifiedDate

05/07/2012