KELLY J CARROLL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192621

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

CARROLL

Business Name

KELLY J CARROLL

Original Issue Date

06/25/2009

Effective Date

03/22/2010

Expiration Date

03/31/2011

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/12/2011