KELLY ANNE BEAVER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136420

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

ANNE

Last Name

BEAVER

Business Name

KELLY ANNE BEAVER

Original Issue Date

05/24/2001

Effective Date

05/24/2001

Expiration Date

03/31/2002

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/06/2005