MICHAEL WALTER KELLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061246

License Status

NOT RENEWED

Business

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

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005