KELLY J SISSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094297

License Status

NOT RENEWED

Business

First Name

KELLY J

Last Name

SISSON

Business Name

KELLY J SISSON

Original Issue Date

08/29/1990

Effective Date

08/29/1990

Expiration Date

03/31/1991

City

KILBOURNE

State

Zip

62655

County

MASON

Ever Disciplined

LastModifiedDate

10/17/2005