KELSEY AN CLEMENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209692

License Status

NOT RENEWED

Business

First Name

KELSEY

Middle

Last Name

CLEMENS

Prefix

Business Name

KELSEY AN CLEMENS

Original Issue Date

03/13/2012

Effective Date

03/13/2012

Expiration Date

03/31/2013

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2013