KIMBERLEY ANN TALTY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105607

License Status

NOT RENEWED

Business

First Name

KIMBERLEY ANN

Last Name

TALTY

Business Name

KIMBERLEY ANN TALTY

Original Issue Date

01/11/1994

Effective Date

01/11/1994

Expiration Date

03/31/1995

City

MOKENA

State

Zip

60448

Ever Disciplined

LastModifiedDate

10/17/2005