License holder summary

MAYA ANGELA TATUM is a Pharmacy - Authorization to Administer Injectables licensed to practice in Pennsylvania. The address on file for MAYA ANGELA TATUM is Philadelphia PA 19128. This licensed professional license is current. The license was granted 09/06/2011 and expired on 09/30/2016.

Pennsylvania

Department of State

MAYA ANGELA TATUM
Pharmacy - Authorization to Administer Injectables
License number
RPI005647
Date granted
09/06/2011
Date expires
09/30/2016
Class
Pharmacy - Authorization to Administer Injectables
Status
Active
Address
Philadelphia PA 19128
palicensing.org
ID 17027941
LAST UPDATED 2024-04-15 15:02:12 UTC

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