BENJAMIN MARK TALLY JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051028106

License Status

NOT RENEWED

Business

First Name

BENJAMIN MARK

Last Name

TALLY JR

Business Name

BENJAMIN MARK TALLY JR

Original Issue Date

01/01/1997

Expiration Date

03/31/1996

City

CAPE GIRARDEAU

State

Zip

63701

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

1988002429

Action

Probation

Discipline Start Date

02/10/1989

Discipline End Date

02/23/1993