KELLY A KERN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049075347

License Status

NOT RENEWED

Business

First Name

KELLY A

Last Name

KERN

Business Name

KELLY A KERN

Original Issue Date

09/28/1981

Effective Date

09/28/1981

Expiration Date

03/31/1984

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005