JASON M KELM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173411

License Status

NOT RENEWED

Business

First Name

JASON

Middle

Last Name

KELM

Business Name

JASON M KELM

Original Issue Date

12/28/2006

Effective Date

02/25/2014

Expiration Date

03/31/2015

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/11/2015