KELLY W SHIRLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072016

License Status

NOT RENEWED

Business

First Name

KELLY W

Last Name

SHIRLEY

Business Name

KELLY W SHIRLEY

Original Issue Date

10/12/1979

Effective Date

10/12/1979

Expiration Date

03/31/1984

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005