TERI K KELLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134174

License Status

NOT RENEWED

Business

First Name

TERI

Middle

Last Name

KELLEY

Business Name

TERI K KELLEY

Original Issue Date

12/20/2000

Effective Date

12/20/2000

Expiration Date

03/31/2002

City

FARMER CITY

State

Zip

61842

County

DE WITT

Ever Disciplined

LastModifiedDate

12/06/2005