KELLY C LIVELY - Pharmacist License in Illinois | # 049228655

KELLY C LIVELY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049228655

License Status

NOT RENEWED

Business

N

First Name

KELLY

Middle

C

Last Name

LIVELY

Prefix

MR

Business Name

KELLY C LIVELY

Original Issue Date

10/20/2014

Effective Date

10/20/2014

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015