TARA NICOLE PALM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142387

License Status

NOT RENEWED

Business

First Name

TARA

Middle

NICOLE

Last Name

PALM

Business Name

TARA NICOLE PALM

Original Issue Date

05/10/2002

Effective Date

02/08/2010

Expiration Date

03/31/2011

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/12/2011