TANYA M KELLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091206

License Status

NOT RENEWED

Business

First Name

TANYA M

Last Name

KELLEY

Business Name

TANYA M KELLEY

Original Issue Date

09/21/1989

Effective Date

09/21/1989

Expiration Date

03/31/1994

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005