TAMIKA LEE TATUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049186968

License Status

NOT RENEWED

Business

First Name

TAMIKA

Middle

LEE

Last Name

TATUM

Business Name

TAMIKA LEE TATUM

Original Issue Date

09/12/2008

Effective Date

09/12/2008

Expiration Date

03/31/2009

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2009