JEAN GOMEZ TALLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049075043

License Status

NOT RENEWED

Business

First Name

JEAN GOMEZ

Last Name

TALLEY

Business Name

JEAN GOMEZ TALLEY

Original Issue Date

07/17/1981

Effective Date

07/17/1981

Expiration Date

03/31/1984

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005