TIFFANY MARIE KELLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151486

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

MARIE

Last Name

KELLY

Business Name

TIFFANY MARIE KELLY

Original Issue Date

10/09/2003

Effective Date

10/09/2003

Expiration Date

03/31/2006

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/11/2006