KELLY STEVENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126745

License Status

NOT RENEWED

Business

First Name

KELLY

Last Name

STEVENS

Business Name

KELLY STEVENS

Original Issue Date

07/21/1999

Effective Date

07/21/1999

Expiration Date

03/31/2005

City

OREGON

State

Zip

61061

County

OGLE

Ever Disciplined

LastModifiedDate

10/20/2005