KELLY E FENTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092194

License Status

NOT RENEWED

Business

First Name

KELLY E

Last Name

FENTON

Business Name

KELLY E FENTON

Original Issue Date

02/04/1990

Effective Date

02/04/1990

Expiration Date

03/31/1991

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005