TIFFANY CHARLINE TALLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123127

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

CHARLINE

Last Name

TALLEY

Business Name

TIFFANY CHARLINE TALLEY

Original Issue Date

10/05/1998

Effective Date

10/05/1998

Expiration Date

03/31/2002

City

CARMI

State

Zip

62821

County

WHITE

Ever Disciplined

LastModifiedDate

12/06/2005