TABITHA RENE ZAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184334

License Status

NOT RENEWED

Business

First Name

TABITHA

Middle

RENE

Last Name

ZAKE

Business Name

TABITHA RENE ZAKE

Original Issue Date

05/16/2008

Effective Date

05/16/2008

Expiration Date

03/31/2009

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2009