KRYSTAL KAY TATMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172639

License Status

NOT RENEWED

Business

First Name

KRYSTAL

Middle

KAY

Last Name

TATMAN

Business Name

KRYSTAL KAY TATMAN

Original Issue Date

11/17/2006

Effective Date

03/15/2010

Expiration Date

03/31/2011

City

MONMOUTH

State

Zip

61462

Ever Disciplined

LastModifiedDate

05/12/2011