KELLY A O'BRIEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153903

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

O'BRIEN

Business Name

KELLY A O'BRIEN

Original Issue Date

03/26/2004

Effective Date

03/26/2004

Expiration Date

03/31/2005

City

HOMER GLENN

State

Zip

60491

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005