KELLY J KOCAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164052

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

KOCAL

Business Name

KELLY J KOCAL

Original Issue Date

09/20/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/14/2007