KELLI L STIDHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111201

License Status

NOT RENEWED

Business

First Name

KELLI L

Last Name

STIDHAM

Business Name

KELLI L STIDHAM

Original Issue Date

07/19/1995

Effective Date

07/19/1995

Expiration Date

03/31/1999

City

PARIS

State

Zip

61944

County

EDGAR

Ever Disciplined

LastModifiedDate

10/17/2005