KELLY S KLETTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086903

License Status

NOT RENEWED

Business

First Name

KELLY S

Last Name

KLETTE

Business Name

KELLY S KLETTE

Original Issue Date

06/04/1988

Effective Date

06/04/1988

Expiration Date

03/31/1991

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005