KELLY JO HARVILLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155289

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

HARVILLE

Business Name

KELLY JO HARVILLE

Original Issue Date

06/16/2004

Effective Date

06/16/2004

Expiration Date

03/31/2005

City

ST JOHN

State

Zip

46373

County

INDIANA

Ever Disciplined

LastModifiedDate

10/20/2005