KELLI ANN PIAZZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194596

License Status

NOT RENEWED

Business

First Name

KELLI

Middle

ANN

Last Name

PIAZZA

Business Name

KELLI ANN PIAZZA

Original Issue Date

10/01/2009

Effective Date

03/01/2013

Expiration Date

03/31/2014

City

MASCOUTAH

State

Zip

62258

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/06/2014