TISA K KELLEY - Pharmacist License in Illinois | # 049096979

TISA K KELLEY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049096979

License Status

NOT RENEWED

Business

N

First Name

TISA

Middle

K

Last Name

KELLEY

Business Name

TISA K KELLEY

Original Issue Date

05/25/1991

Effective Date

05/25/1991

Expiration Date

03/31/1993

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005