TARA L EALY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142088

License Status

NOT RENEWED

Business

First Name

TARA

Middle

Last Name

EALY

Business Name

TARA L EALY

Original Issue Date

05/02/2002

Effective Date

05/02/2002

Expiration Date

03/31/2005

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/20/2005