KELLEY DIANE MYERS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125175

License Status

NOT RENEWED

Business

First Name

KELLEY

Middle

DIANE

Last Name

MYERS

Business Name

KELLEY DIANE MYERS

Original Issue Date

03/26/1999

Effective Date

03/26/1999

Expiration Date

03/31/2005

City

LEBANON

State

Zip

62254

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/20/2005