TARA LEA TALLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122433

License Status

NOT RENEWED

Business

First Name

TARA

Middle

LEA

Last Name

TALLEY

Business Name

TARA LEA TALLEY

Original Issue Date

08/11/1998

Effective Date

08/11/1998

Expiration Date

03/31/2001

City

CARBONDALE

State

Zip

62901

County

JACKSON

Ever Disciplined

LastModifiedDate

10/21/2005