MICHELLE L KELLER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146022

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

KELLER

Business Name

MICHELLE L KELLER

Original Issue Date

11/21/2002

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

MERRILLVILLE

State

Zip

46410

County

INDIANA

Ever Disciplined

LastModifiedDate

05/14/2007