KELLY L WALDA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112339

License Status

NOT RENEWED

Business

First Name

KELLY L

Last Name

WALDA

Business Name

KELLY L WALDA

Original Issue Date

11/07/1995

Effective Date

11/07/1995

Expiration Date

03/31/1999

City

HARRISBURG

State

Zip

62946

County

SALINE

Ever Disciplined

LastModifiedDate

10/17/2005