MICHAEL ADAM ASSALLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158268

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

ADAM

Last Name

ASSALLEY

Business Name

MICHAEL ADAM ASSALLEY

Original Issue Date

12/10/2004

Effective Date

03/11/2014

Expiration Date

03/31/2015

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

05/11/2015