KELLI L WARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209635

License Status

NOT RENEWED

Business

First Name

KELLI

Middle

Last Name

WARD

Prefix

Business Name

KELLI L WARD

Original Issue Date

03/08/2012

Effective Date

03/08/2012

Expiration Date

03/31/2013

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2013