MABINTY TARAWALLIE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167544

License Status

NOT RENEWED

Business

First Name

MABINTY

Last Name

TARAWALLIE

Business Name

MABINTY TARAWALLIE

Original Issue Date

04/10/2006

Effective Date

03/30/2011

Expiration Date

03/31/2012

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/07/2012