ENNESFORD F KELLY Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051019798

License Status

INACTIVE

Business

First Name

ENNESFORD F

Last Name

KELLY

Business Name

ENNESFORD F KELLY

Original Issue Date

01/01/1997

Expiration Date

03/31/1986

City

MESA

State

Zip

85205

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/17/2005