KELLI ELOYCE BORAH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138215

License Status

NOT RENEWED

Business

First Name

KELLI

Middle

ELOYCE

Last Name

BORAH

Business Name

KELLI ELOYCE BORAH

Original Issue Date

09/12/2001

Effective Date

09/12/2001

Expiration Date

03/31/2002

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

12/06/2005