LUCY ELLEN KELLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155812

License Status

NOT RENEWED

Business

First Name

LUCY

Middle

ELLEN

Last Name

KELLY

Business Name

LUCY ELLEN KELLY

Original Issue Date

06/28/2004

Effective Date

06/28/2004

Expiration Date

03/31/2006

City

ST LOUIS

State

Zip

63139

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/11/2006