JERRY TATUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049239880

License Status

NOT RENEWED

Business

First Name

JERRY

Last Name

TATUM

Business Name

JERRY TATUM

Original Issue Date

03/02/2016

Effective Date

03/07/2019

Expiration Date

09/30/2020

City

TOOELE

State

Zip

84074

Ever Disciplined

LastModifiedDate

01/08/2021