KELLY L TALLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195691

License Status

NOT RENEWED

Business

First Name

KELLY L

Last Name

TALLEY

Business Name

KELLY L TALLEY

Original Issue Date

12/04/2009

Effective Date

12/04/2009

Expiration Date

03/31/2010

City

GLEN CARBON

State

Zip

62034

County

FRANKLIN

Ever Disciplined

LastModifiedDate

05/04/2010