KELLY R PRASUN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114218

License Status

NOT RENEWED

Business

First Name

KELLY R

Last Name

PRASUN

Business Name

KELLY R PRASUN

Original Issue Date

05/10/1996

Effective Date

05/10/1996

Expiration Date

03/31/1999

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

10/17/2005