TAMMY MARIE STALLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196152

License Status

NOT RENEWED

Business

First Name

TAMMY

Middle

MARIE

Last Name

STALLER

Business Name

TAMMY MARIE STALLER

Original Issue Date

01/11/2010

Effective Date

01/28/2011

Expiration Date

03/31/2012

City

BROUGHTON

State

Zip

62817

County

HAMILTON

Ever Disciplined

LastModifiedDate

05/07/2012