TIMOTHY L VANNATTA Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036205

License Status

ACTIVE

Business

First Name

TIMOTHY L

Last Name

VANNATTA

Business Name

TIMOTHY L VANNATTA

Original Issue Date

08/18/1986

Effective Date

01/06/2024

Expiration Date

03/31/2026

City

DIX

State

Zip

62830

Ever Disciplined

LastModifiedDate

01/30/2026