ASHLEIGH MARIE KELLUMS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162947

License Status

NOT RENEWED

Business

First Name

ASHLEIGH

Middle

MARIE

Last Name

KELLUMS

Business Name

ASHLEIGH MARIE KELLUMS

Original Issue Date

08/12/2005

Effective Date

08/12/2005

Expiration Date

03/31/2006

City

GOREVILLE

State

Zip

62939

County

JOHNSON

Ever Disciplined

LastModifiedDate

05/11/2006