SHIRLEEN MARIAH KELLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268068

License Status

NOT RENEWED

Business

First Name

SHIRLEEN

Middle

MARIAH

Last Name

KELLY

Business Name

SHIRLEEN MARIAH KELLY

Original Issue Date

09/25/2019

Effective Date

09/25/2019

Expiration Date

09/30/2020

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021