KELLY L DAHL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049170203

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

DAHL

Business Name

KELLY L DAHL

Original Issue Date

07/25/2006

Effective Date

02/03/2014

Expiration Date

03/31/2015

City

SANDOVAL

State

Zip

62882

County

MARION

Ever Disciplined

LastModifiedDate

05/11/2015