MARK A TATUM Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051035360

License Status

INACTIVE

Business

First Name

MARK A

Last Name

TATUM

Business Name

MARK A TATUM

Original Issue Date

09/05/1984

Effective Date

03/13/2024

Expiration Date

03/31/2026

City

OKLAHOMA CITY

State

Zip

73179

Ever Disciplined

LastModifiedDate

02/27/2026