CODY MICHAEL TATAR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049248962

License Status

NOT RENEWED

Business

First Name

CODY

Middle

MICHAEL

Last Name

TATAR

Business Name

CODY MICHAEL TATAR

Original Issue Date

03/08/2017

Effective Date

03/08/2017

Expiration Date

03/31/2018

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

06/19/2018