KELLI MARIE KOVAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080075

License Status

NOT RENEWED

Business

First Name

KELLI MARIE

Last Name

KOVAK

Business Name

KELLI MARIE KOVAK

Original Issue Date

08/06/1984

Effective Date

08/06/1984

Expiration Date

03/31/1986

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005