KELLY ETZEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212574

License Status

NOT RENEWED

Business

First Name

KELLY

Last Name

ETZEL

Business Name

KELLY ETZEL

Original Issue Date

08/01/2012

Effective Date

04/25/2013

Expiration Date

03/31/2014

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

05/06/2014