KELLYN M MORAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202071

License Status

NOT RENEWED

Business

First Name

KELLYN

Middle

Last Name

MORAN

Prefix

Business Name

KELLYN M MORAN

Original Issue Date

12/27/2010

Effective Date

03/06/2015

Expiration Date

03/31/2016

City

WESTERN SPRINGS

State

Zip

60558

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016