KELLEY DIANNE COX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266666

License Status

NOT RENEWED

Business

First Name

KELLEY

Middle

DIANNE

Last Name

COX

Business Name

KELLEY DIANNE COX

Original Issue Date

07/12/2019

Effective Date

07/12/2019

Expiration Date

09/30/2020

City

ROME

State

Zip

61562

County

PEORIA

Ever Disciplined

LastModifiedDate

01/08/2021