TATUM JAE HENDERSON Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049321266

License Status

ACTIVE

Business

First Name

TATUM

Middle

JAE

Last Name

HENDERSON

Business Name

TATUM JAE HENDERSON

Original Issue Date

06/17/2025

Effective Date

03/19/2026

Expiration Date

03/31/2027

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

03/19/2026