KELLY JEAN WARREN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154546

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

JEAN

Last Name

WARREN

Business Name

KELLY JEAN WARREN

Original Issue Date

05/21/2004

Effective Date

05/21/2004

Expiration Date

03/31/2005

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005