TAMARA NICOLE KLEMM Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136862

License Status

INACTIVE

Business

First Name

TAMARA

Middle

NICOLE

Last Name

KLEMM

Business Name

TAMARA NICOLE KLEMM

Original Issue Date

06/29/2001

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

01/06/2009