KELSEY ANNE ANTLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184946

License Status

NOT RENEWED

Business

First Name

KELSEY

Middle

ANNE

Last Name

ANTLE

Business Name

KELSEY ANNE ANTLE

Original Issue Date

06/16/2008

Effective Date

06/16/2008

Expiration Date

03/31/2009

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2009