FRED S TANENBAUM Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051023959

License Status

INACTIVE

Business

First Name

FRED S

Last Name

TANENBAUM

Business Name

FRED S TANENBAUM

Original Issue Date

01/01/1997

Effective Date

01/13/2010

Expiration Date

03/31/2012

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

01/12/2012