KEELY N GORDON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143686

License Status

NOT RENEWED

Business

First Name

KEELY

Middle

Last Name

GORDON

Business Name

KEELY N GORDON

Original Issue Date

07/16/2002

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

INDIANAPOLIS

State

Zip

46278

County

MARION

Ever Disciplined

LastModifiedDate

05/06/2009