KELLY KRISTINE PENDERGRASS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096141

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

KRISTINE

Last Name

PENDERGRASS

Business Name

KELLY KRISTINE PENDERGRASS

Original Issue Date

03/16/1991

Effective Date

03/16/1991

Expiration Date

03/31/1993

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005