KELLY A CAPOLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160706

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

CAPOLA

Business Name

KELLY A CAPOLA

Original Issue Date

04/29/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

AMBOY

State

Zip

61310

County

LEE

Ever Disciplined

LastModifiedDate

05/14/2007