KELLY L FACKERT - Pharmacist License in Missouri | # 049103820

KELLY L FACKERT

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103820

License Status

INACTIVE

Business

N

First Name

KELLY L

Last Name

FACKERT

Business Name

KELLY L FACKERT

Original Issue Date

06/23/1993

Effective Date

03/14/2016

Expiration Date

03/31/2017

State

MO

Ever Disciplined

N

LastModifiedDate

01/13/2017