DANIEL MATTHEW KELLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146135

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

MATTHEW

Last Name

KELLEY

Business Name

DANIEL MATTHEW KELLEY

Original Issue Date

11/27/2002

Effective Date

11/27/2002

Expiration Date

03/31/2003

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005