KELLY LYNN PICCO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049275675

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

LYNN

Last Name

PICCO

Business Name

KELLY LYNN PICCO

Original Issue Date

09/14/2020

Effective Date

01/10/2021

Expiration Date

05/31/2022

City

UTICA

State

Zip

61373

County

LA SALLE

Ever Disciplined

LastModifiedDate

07/27/2022