KELLY C LIVELY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049228655

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

LIVELY

Prefix

Business Name

KELLY C LIVELY

Original Issue Date

10/20/2014

Effective Date

10/20/2014

Expiration Date

03/31/2015

City

VALIER

State

Zip

62891

County

FRANKLIN

Ever Disciplined

LastModifiedDate

05/11/2015