KELLY J DAVIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197037

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

DAVIS

Business Name

KELLY J DAVIS

Original Issue Date

03/02/2010

Effective Date

01/12/2011

Expiration Date

03/31/2012

City

CHESTER

State

Zip

62233

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/07/2012