KELLY RAE SALATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200630

License Status

NOT RENEWED

Business

First Name

KELLY RAE

Last Name

SALATA

Business Name

KELLY RAE SALATA

Original Issue Date

09/19/2010

Effective Date

09/19/2010

Expiration Date

03/31/2011

City

NEW HAVEN

State

Zip

06513

County

PEORIA

Ever Disciplined

LastModifiedDate

05/12/2011