KELLY LYNN KLEEMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139918

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

LYNN

Last Name

KLEEMAN

Business Name

KELLY LYNN KLEEMAN

Original Issue Date

01/10/2002

Effective Date

01/26/2009

Expiration Date

03/31/2010

City

LAFAYETTE

State

Zip

80026

Ever Disciplined

LastModifiedDate

05/04/2010