KELLY R COLEMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138071

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

COLEMAN

Business Name

KELLY R COLEMAN

Original Issue Date

09/10/2001

Effective Date

09/10/2001

Expiration Date

03/31/2003

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

10/20/2005