KELLY M BEAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177360

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

BEAL

Business Name

KELLY M BEAL

Original Issue Date

06/26/2007

Effective Date

06/26/2007

Expiration Date

03/31/2008

City

WHEATFIELD

State

Zip

46392

County

INDIANA

Ever Disciplined

LastModifiedDate

05/02/2008