WALRENE KELLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141786

License Status

NOT RENEWED

Business

First Name

WALRENE

Last Name

KELLY

Business Name

WALRENE KELLY

Original Issue Date

04/12/2002

Effective Date

04/12/2002

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005