TABI ANN DEWALT - Pharmacist License in Illinois | # 049261352

TABI ANN DEWALT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049261352

License Status

NOT RENEWED

Business

N

First Name

TABI

Middle

ANN

Last Name

DEWALT

Business Name

TABI ANN DEWALT

Original Issue Date

11/26/2018

Effective Date

03/04/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021