ASHLIE NICOLE KALLAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115200

License Status

NOT RENEWED

Business

First Name

ASHLIE

Middle

NICOLE

Last Name

KALLAL

Business Name

ASHLIE NICOLE KALLAL

Original Issue Date

09/06/1996

Effective Date

09/06/1996

Expiration Date

03/31/2002

City

DAWSON

State

Zip

62520

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/06/2005