KELLY A TESKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188488

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

TESKE

Prefix

Business Name

KELLY A TESKE

Original Issue Date

12/03/2008

Effective Date

12/03/2008

Expiration Date

03/31/2009

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2009