KENTRIA E TATUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201379

License Status

NOT RENEWED

Business

First Name

KENTRIA

Middle

Last Name

TATUM

Business Name

KENTRIA E TATUM

Original Issue Date

11/03/2010

Effective Date

02/22/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

02/05/2018