KELLY A JEFFERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115557

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

JEFFERSON

Business Name

KELLY A JEFFERSON

Original Issue Date

10/21/1996

Effective Date

10/21/1996

Expiration Date

03/31/1997

City

GLADSTONE

State

Zip

49837

Ever Disciplined

LastModifiedDate

10/17/2005