KELLY LEA SAMS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130907

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

LEA

Last Name

SAMS

Business Name

KELLY LEA SAMS

Original Issue Date

05/22/2000

Effective Date

05/22/2000

Expiration Date

03/31/2001

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/21/2005