MAGEN KRISTINA KELLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049219559

License Status

NOT RENEWED

Business

First Name

MAGEN

Middle

KRISTINA

Last Name

KELLY

Business Name

MAGEN KRISTINA KELLY

Original Issue Date

07/24/2013

Effective Date

04/18/2014

Expiration Date

03/31/2015

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

05/11/2015