KELLEY MICHELLE METZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143599

License Status

NOT RENEWED

Business

First Name

KELLEY

Middle

MICHELLE

Last Name

METZ

Business Name

KELLEY MICHELLE METZ

Original Issue Date

07/09/2002

Effective Date

07/09/2002

Expiration Date

03/31/2003

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/20/2005