KELLY M EMANUELSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185537

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

EMANUELSON

Prefix

Business Name

KELLY M EMANUELSON

Original Issue Date

07/15/2008

Effective Date

03/10/2010

Expiration Date

03/31/2011

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

05/12/2011