TABETHA M TALLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049137208

License Status

NOT RENEWED

Business

First Name

TABETHA

Middle

Last Name

TALLEY

Business Name

TABETHA M TALLEY

Original Issue Date

07/12/2001

Effective Date

07/12/2001

Expiration Date

03/31/2005

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/20/2005