KELLY MARIE TAMAYO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049286360

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

MARIE

Last Name

TAMAYO

Business Name

KELLY MARIE TAMAYO

Original Issue Date

10/15/2021

Effective Date

03/17/2023

Expiration Date

03/31/2024

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/03/2025