KELLY MARIE FUNK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179997

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

MARIE

Last Name

FUNK

Business Name

KELLY MARIE FUNK

Original Issue Date

10/17/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

MIDLOTHIAN

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009