KELLY L DAVIS BROWN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110302

License Status

NOT RENEWED

Business

First Name

KELLY L

Last Name

DAVIS BROWN

Business Name

KELLY L DAVIS BROWN

Original Issue Date

04/26/1995

Effective Date

04/26/1995

Expiration Date

03/31/2005

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005