KODY JACOB SHELLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205852

License Status

NOT RENEWED

Business

First Name

KODY

Middle

JACOB

Last Name

SHELLY

Business Name

KODY JACOB SHELLY

Original Issue Date

08/05/2011

Effective Date

02/14/2012

Expiration Date

03/31/2013

City

DAVIS

State

Zip

61019

County

STEPHENSON

Ever Disciplined

LastModifiedDate

05/06/2013