KELLIE J TUCKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173444

License Status

NOT RENEWED

Business

First Name

KELLIE

Middle

Last Name

TUCKER

Business Name

KELLIE J TUCKER

Original Issue Date

01/03/2007

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

05/02/2008