KELLY L MATCHEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112289

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

MATCHEN

Business Name

KELLY L MATCHEN

Original Issue Date

11/01/1995

Effective Date

11/01/1995

Expiration Date

03/31/2001

City

CRESTWOOD

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005