THERESA MELODY KELLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122771

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

MELODY

Last Name

KELLER

Business Name

THERESA MELODY KELLER

Original Issue Date

09/04/1998

Effective Date

09/04/1998

Expiration Date

03/31/2001

City

METROPOLIS

State

Zip

62960

County

MASSAC

Ever Disciplined

LastModifiedDate

10/21/2005