KRISTEN ALEXANDRIA ELY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143717

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

ALEXANDRIA

Last Name

ELY

Business Name

KRISTEN ALEXANDRIA ELY

Original Issue Date

07/17/2002

Effective Date

07/17/2002

Expiration Date

03/31/2006

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

05/11/2006