KELLY MARIE MULL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159214

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

MARIE

Last Name

MULL

Business Name

KELLY MARIE MULL

Original Issue Date

02/14/2005

Effective Date

02/14/2005

Expiration Date

03/31/2006

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2006