KELLY J DIKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115236

License Status

NOT RENEWED

Business

First Name

KELLY J

Last Name

DIKE

Business Name

KELLY J DIKE

Original Issue Date

09/11/1996

Effective Date

09/11/1996

Expiration Date

03/31/1999

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005