KELLEA J HENDRIAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169200

License Status

NOT RENEWED

Business

First Name

KELLEA

Middle

Last Name

HENDRIAN

Business Name

KELLEA J HENDRIAN

Original Issue Date

06/08/2006

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

QUINCY

State

Zip

62305

County

ADAMS

Ever Disciplined

LastModifiedDate

05/06/2009