TAD A STALETS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049087409

License Status

NOT RENEWED

Business

First Name

TAD A

Last Name

STALETS

Business Name

TAD A STALETS

Original Issue Date

07/27/1988

Effective Date

07/27/1988

Expiration Date

03/31/1989

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005