KELLY N REARDON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049111904

License Status

NOT RENEWED

Business

First Name

KELLY N

Last Name

REARDON

Business Name

KELLY N REARDON

Original Issue Date

09/21/1995

Effective Date

09/21/1995

Expiration Date

03/31/1999

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005