KELLY J DELEONYPENA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211303

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

DELEONYPENA

Prefix

Business Name

KELLY J DELEONYPENA

Original Issue Date

05/25/2012

Effective Date

02/21/2013

Expiration Date

03/31/2014

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2014