KELLY G WHITE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180414

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

WHITE

Prefix

Business Name

KELLY G WHITE

Original Issue Date

11/06/2007

Effective Date

02/03/2010

Expiration Date

03/31/2011

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

05/12/2011