THERESA J KELLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112305

License Status

NOT RENEWED

Business

First Name

THERESA J

Last Name

KELLY

Business Name

THERESA J KELLY

Original Issue Date

11/02/1995

Effective Date

03/10/2010

Expiration Date

03/31/2011

City

PETERSBURG

State

Zip

62675

County

MENARD

Ever Disciplined

LastModifiedDate

05/12/2011