KELLY MARIE PERCIVAL Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051296547

License Status

INACTIVE

Business

First Name

KELLY

Middle

MARIE

Last Name

PERCIVAL

Business Name

KELLY MARIE PERCIVAL

Original Issue Date

05/28/2013

Effective Date

01/16/2018

Expiration Date

09/30/2020

City

IOWA CITY

State

Zip

52246

Ever Disciplined

LastModifiedDate

01/04/2020