BRUCE EDWARD KELLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029772

License Status

NOT RENEWED

Business

First Name

BRUCE EDWARD

Last Name

KELLE

Business Name

BRUCE EDWARD KELLE

Original Issue Date

10/17/1973

Effective Date

03/29/2010

Expiration Date

03/31/2012

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/07/2012