MICHAEL WALTER KELLY - Pharmacist License in Illinois | # 049061246

MICHAEL WALTER KELLY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061246

License Status

NOT RENEWED

Business

N

First Name

MICHAEL WALTER

Last Name

KELLY

Business Name

MICHAEL WALTER KELLY

Original Issue Date

04/08/1974

Effective Date

04/08/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005