ASIA D TALLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049258903

License Status

NOT RENEWED

Business

First Name

ASIA

Middle

Last Name

TALLEY

Business Name

ASIA D TALLEY

Original Issue Date

07/30/2018

Effective Date

12/04/2019

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

01/08/2021