KELLY NIEDERKORN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049240330

License Status

NOT RENEWED

Business

First Name

KELLY

Last Name

NIEDERKORN

Prefix

Business Name

KELLY NIEDERKORN

Original Issue Date

03/21/2016

Effective Date

03/21/2016

Expiration Date

03/31/2017

City

BELLEVILLE

State

Zip

62220

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/10/2017