NATHAN MARSHALL STATUM - Pharmacist License in Illinois | # 049163574

NATHAN MARSHALL STATUM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163574

License Status

NOT RENEWED

Business

N

First Name

NATHAN

Middle

MARSHALL

Last Name

STATUM

Business Name

NATHAN MARSHALL STATUM

Original Issue Date

09/07/2005

Effective Date

09/07/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006