KELLY LEE KING Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143578

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

LEE

Last Name

KING

Business Name

KELLY LEE KING

Original Issue Date

07/09/2002

Effective Date

07/09/2002

Expiration Date

03/31/2003

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005