IMOGENE GRACE KELKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058970

License Status

NOT RENEWED

Business

First Name

IMOGENE GRACE

Last Name

KELKER

Business Name

IMOGENE GRACE KELKER

Original Issue Date

01/23/1973

Effective Date

01/23/1973

Expiration Date

01/01/1997

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/17/2005