KELLY M REXFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134164

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

REXFORD

Business Name

KELLY M REXFORD

Original Issue Date

12/20/2000

Effective Date

12/20/2000

Expiration Date

03/31/2003

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

10/20/2005