KELLY SHOPPA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049251368

License Status

NOT RENEWED

Business

First Name

KELLY

Last Name

SHOPPA

Business Name

KELLY SHOPPA

Original Issue Date

06/21/2017

Effective Date

06/21/2017

Expiration Date

03/31/2018

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

06/19/2018