KELLY L TATAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171948

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

TATAY

Business Name

KELLY L TATAY

Original Issue Date

10/17/2006

Effective Date

10/17/2006

Expiration Date

03/31/2007

City

LINCOLN

State

Zip

68505

County

NEBRASKA

Ever Disciplined

LastModifiedDate

05/14/2007