TIMOTHY B STALLION Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061949

License Status

NOT RENEWED

Business

First Name

TIMOTHY B

Last Name

STALLION

Business Name

TIMOTHY B STALLION

Original Issue Date

07/19/1974

Effective Date

07/19/1974

Expiration Date

01/01/1997

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005