KELLI ELIZABETH BOHLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135528

License Status

NOT RENEWED

Business

First Name

KELLI

Middle

ELIZABETH

Last Name

BOHLEN

Business Name

KELLI ELIZABETH BOHLEN

Original Issue Date

04/02/2001

Effective Date

04/02/2001

Expiration Date

03/31/2003

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005