KELLY L KIRWAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111833

License Status

NOT RENEWED

Business

First Name

KELLY L

Last Name

KIRWAN

Business Name

KELLY L KIRWAN

Original Issue Date

09/19/1995

Effective Date

03/12/2020

Expiration Date

03/31/2021

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

07/20/2021