JOHN ROBERT KELLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142614

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

ROBERT

Last Name

KELLY

Business Name

JOHN ROBERT KELLY

Original Issue Date

05/28/2002

Effective Date

05/28/2002

Expiration Date

03/31/2005

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005