KELLEY M BEAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102029

License Status

NOT RENEWED

Business

First Name

KELLEY M

Last Name

BEAL

Business Name

KELLEY M BEAL

Original Issue Date

12/22/1992

Effective Date

12/22/1992

Expiration Date

03/31/1995

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

10/17/2005