KELLY JO MCCOLLUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103496

License Status

NOT RENEWED

Business

First Name

KELLY JO

Last Name

MCCOLLUM

Business Name

KELLY JO MCCOLLUM

Original Issue Date

05/20/1993

Effective Date

05/20/1993

Expiration Date

03/31/1995

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005