KELLY J STEVENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100029

License Status

NOT RENEWED

Business

First Name

KELLY J

Last Name

STEVENS

Business Name

KELLY J STEVENS

Original Issue Date

04/29/1992

Effective Date

04/29/1992

Expiration Date

03/31/2000

City

BETTENDORF

State

Zip

52722

County

IOWA

Ever Disciplined

LastModifiedDate

10/21/2005