RYAN M TABOR MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185065

License Status

NOT RENEWED

Business

Title

First Name

RYAN

Middle

Last Name

TABOR

Business Name

RYAN M TABOR MD

Original Issue Date

06/19/2008

Effective Date

06/29/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011