KELLY PATRICIA VALLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138656

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

PATRICIA

Last Name

VALLA

Business Name

KELLY PATRICIA VALLA

Original Issue Date

10/11/2001

Effective Date

03/09/2009

Expiration Date

03/31/2010

City

ELLICOTT CITY

State

Zip

21043

Ever Disciplined

LastModifiedDate

05/04/2010