TARA MARIE PONTARELLI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181058

License Status

NOT RENEWED

Business

First Name

TARA

Middle

MARIE

Last Name

PONTARELLI

Business Name

TARA MARIE PONTARELLI

Original Issue Date

12/11/2007

Effective Date

12/11/2007

Expiration Date

03/31/2008

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/02/2008