CHAVONNE A TATUM - Pharmacist License in Illinois | # 049182852

CHAVONNE A TATUM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182852

License Status

NOT RENEWED

Business

N

First Name

CHAVONNE

Middle

A

Last Name

TATUM

Prefix

MR

Business Name

CHAVONNE A TATUM

Original Issue Date

03/17/2008

Effective Date

04/02/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010