KELSI N WORSHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180357

License Status

NOT RENEWED

Business

First Name

KELSI

Middle

Last Name

WORSHAM

Business Name

KELSI N WORSHAM

Original Issue Date

11/02/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2009