MATTHEW J KELM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155674

License Status

NOT RENEWED

Business

First Name

MATTHEW

Middle

Last Name

KELM

Business Name

MATTHEW J KELM

Original Issue Date

06/24/2004

Effective Date

06/24/2004

Expiration Date

03/31/2005

City

FORT WAYNE

State

Zip

46819

County

INDIANA

Ever Disciplined

LastModifiedDate

10/20/2005