TRACI DAWN KELLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142721

License Status

NOT RENEWED

Business

First Name

TRACI

Middle

DAWN

Last Name

KELLEY

Business Name

TRACI DAWN KELLEY

Original Issue Date

05/29/2002

Effective Date

05/29/2002

Expiration Date

03/31/2003

City

WHITTINGTON

State

Zip

62897

County

FRANKLIN

Ever Disciplined

LastModifiedDate

10/20/2005