LEVI KELLY BANKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179055

License Status

NOT RENEWED

Business

First Name

LEVI

Middle

KELLY

Last Name

BANKER

Business Name

LEVI KELLY BANKER

Original Issue Date

09/07/2007

Effective Date

01/27/2014

Expiration Date

03/31/2015

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

05/11/2015