KELLY L FACKERT Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103820

License Status

INACTIVE

Business

First Name

KELLY L

Last Name

FACKERT

Business Name

KELLY L FACKERT

Original Issue Date

06/23/1993

Effective Date

03/14/2016

Expiration Date

03/31/2017

City

SALEM

State

Zip

65560

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/13/2017