KELLY ANN POWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123098

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

ANN

Last Name

POWELL

Business Name

KELLY ANN POWELL

Original Issue Date

10/05/1998

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

05/14/2007