KELSIE SHAE BLUE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193763

License Status

NOT RENEWED

Business

First Name

KELSIE

Middle

SHAE

Last Name

BLUE

Business Name

KELSIE SHAE BLUE

Original Issue Date

08/20/2009

Effective Date

09/13/2018

Expiration Date

03/31/2019

City

SHATTUC

State

Zip

62231

County

CLINTON

Ever Disciplined

LastModifiedDate

07/15/2019