ANNA M KELLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110953

License Status

NOT RENEWED

Business

First Name

ANNA

Middle

Last Name

KELLY

Business Name

ANNA M KELLY

Original Issue Date

06/20/1995

Effective Date

06/20/1995

Expiration Date

03/31/2000

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005