TIMOTHY L VANNATTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079731

License Status

NOT RENEWED

Business

First Name

TIMOTHY L

Last Name

VANNATTA

Business Name

TIMOTHY L VANNATTA

Original Issue Date

05/02/1984

Effective Date

05/02/1984

Expiration Date

03/31/1987

City

MT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

07/12/2007