KELLI N HENLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206537

License Status

NOT RENEWED

Business

First Name

KELLI

Middle

Last Name

HENLEY

Business Name

KELLI N HENLEY

Original Issue Date

09/08/2011

Effective Date

09/08/2011

Expiration Date

03/31/2012

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/07/2012