KELLY M ADOLPHSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108459

License Status

NOT RENEWED

Business

First Name

KELLY M

Last Name

ADOLPHSON

Business Name

KELLY M ADOLPHSON

Original Issue Date

10/15/1994

Effective Date

10/15/1994

Expiration Date

03/31/1995

City

LACON

State

Zip

61540

County

MARSHALL

Ever Disciplined

LastModifiedDate

10/17/2005