KELLY L TALLETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180383

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

TALLETT

Business Name

KELLY L TALLETT

Original Issue Date

11/05/2007

Effective Date

01/31/2011

Expiration Date

03/31/2012

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/07/2012