KELLYN MARI BAILEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155758

License Status

NOT RENEWED

Business

First Name

KELLYN

Middle

MARI

Last Name

BAILEY

Business Name

KELLYN MARI BAILEY

Original Issue Date

06/28/2004

Effective Date

06/28/2004

Expiration Date

03/31/2005

City

NILES

State

Zip

60714

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005