KELSEY ANN LOUCKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187983

License Status

NOT RENEWED

Business

First Name

KELSEY

Middle

ANN

Last Name

LOUCKS

Business Name

KELSEY ANN LOUCKS

Original Issue Date

10/27/2008

Effective Date

01/15/2009

Expiration Date

03/31/2010

City

CHESTER

State

Zip

62233

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/04/2010