KELLEY C DACUS - Pharmacist License in Minnesota | # 049112326

KELLEY C DACUS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112326

License Status

NOT RENEWED

Business

N

First Name

KELLEY

Middle

C

Last Name

DACUS

Business Name

KELLEY C DACUS

Original Issue Date

11/07/1995

Effective Date

11/07/1995

Expiration Date

03/31/2004

State

MN

Ever Disciplined

N

LastModifiedDate

10/20/2005