TANNER D ODOM Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051286941

License Status

INACTIVE

Business

First Name

TANNER

Middle

Last Name

ODOM

Business Name

TANNER D ODOM

Original Issue Date

12/07/1998

Effective Date

12/07/1998

Expiration Date

03/31/2004

City

ALEXANDRIA

State

Zip

22315

County

VIRGINIA

Ever Disciplined

LastModifiedDate

12/06/2005