KELLY L COUNTRYMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191208

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

COUNTRYMAN

Business Name

KELLY L COUNTRYMAN

Original Issue Date

04/21/2009

Effective Date

02/09/2010

Expiration Date

03/31/2011

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

10/15/2025