KELLY A BAILEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108731

License Status

NOT RENEWED

Business

First Name

KELLY A

Last Name

BAILEY

Business Name

KELLY A BAILEY

Original Issue Date

11/03/1994

Effective Date

11/03/1994

Expiration Date

03/31/1997

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005