MYRNA LEE KELLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063197

License Status

NOT RENEWED

Business

First Name

MYRNA LEE

Last Name

KELLEY

Business Name

MYRNA LEE KELLEY

Original Issue Date

03/28/1975

Effective Date

03/28/1975

Expiration Date

03/31/2002

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

12/06/2005