KELSEY ANNE TIPSWORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148640

License Status

NOT RENEWED

Business

First Name

KELSEY

Middle

ANNE

Last Name

TIPSWORD

Business Name

KELSEY ANNE TIPSWORD

Original Issue Date

05/30/2003

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

BETHANY

State

Zip

61914

County

MOULTRIE

Ever Disciplined

LastModifiedDate

05/06/2009