TAMARA S MALDE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036739

License Status

NOT RENEWED

Business

First Name

TAMARA S

Last Name

MALDE

Business Name

TAMARA S MALDE

Original Issue Date

08/23/1987

Effective Date

08/23/1987

Expiration Date

03/31/1990

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005