KELLY JANE SLADE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119995

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

JANE

Last Name

SLADE

Business Name

KELLY JANE SLADE

Original Issue Date

02/03/1998

Effective Date

02/03/1998

Expiration Date

03/31/2003

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

10/20/2005