KELLY R RABE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153100

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

RABE

Business Name

KELLY R RABE

Original Issue Date

01/30/2004

Effective Date

01/30/2004

Expiration Date

03/31/2005

City

AVA

State

Zip

62907

County

JACKSON

Ever Disciplined

LastModifiedDate

10/20/2005