KELLY A CAVAZOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157379

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

CAVAZOS

Business Name

KELLY A CAVAZOS

Original Issue Date

10/07/2004

Effective Date

10/07/2004

Expiration Date

03/31/2006

City

STERLING

State

Zip

61081

Ever Disciplined

LastModifiedDate

05/11/2006