KELSEY KIM NGUYEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111188

License Status

NOT RENEWED

Business

First Name

KELSEY

Middle

KIM

Last Name

NGUYEN

Business Name

KELSEY KIM NGUYEN

Original Issue Date

07/19/1995

Effective Date

07/19/1995

Expiration Date

03/31/1998

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005