KELLY M MUNN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114993

License Status

NOT RENEWED

Business

First Name

KELLY M

Last Name

MUNN

Business Name

KELLY M MUNN

Original Issue Date

08/20/1996

Effective Date

08/20/1996

Expiration Date

03/31/1998

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005