GAYLA DAWN TOLLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119182

License Status

NOT RENEWED

Business

First Name

GAYLA

Middle

DAWN

Last Name

TOLLY

Business Name

GAYLA DAWN TOLLY

Original Issue Date

10/28/1997

Effective Date

10/28/1997

Expiration Date

03/31/1999

City

ASSUMPTION

State

Zip

62510

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

10/17/2005