ERIC M KELLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141465

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

Last Name

KELLY

Business Name

ERIC M KELLY

Original Issue Date

03/19/2002

Effective Date

03/19/2002

Expiration Date

03/31/2005

City

HAVANA

State

Zip

62644

County

MASON

Ever Disciplined

LastModifiedDate

10/20/2005