KALLIE T NELSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049223471

License Status

NOT RENEWED

Business

First Name

KALLIE

Middle

Last Name

NELSON

Prefix

Business Name

KALLIE T NELSON

Original Issue Date

02/19/2014

Effective Date

02/19/2014

Expiration Date

03/31/2015

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2015