KELLY ANNE LOHSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119038

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

ANNE

Last Name

LOHSE

Business Name

KELLY ANNE LOHSE

Original Issue Date

10/14/1997

Effective Date

10/14/1997

Expiration Date

03/31/2000

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

10/21/2005