KENTRIA E TATUM - Pharmacist License in Illinois | # 049201379

KENTRIA E TATUM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201379

License Status

NOT RENEWED

Business

N

First Name

KENTRIA

Middle

E

Last Name

TATUM

Business Name

KENTRIA E TATUM

Original Issue Date

11/03/2010

Effective Date

02/22/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2018