ADAM NICHOLAS KELLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049296461

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

NICHOLAS

Last Name

KELLY

Business Name

ADAM NICHOLAS KELLY

Original Issue Date

10/08/2022

Effective Date

10/08/2022

Expiration Date

03/31/2023

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/07/2023