KELLI MICHELLE FROMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051290459

License Status

NOT RENEWED

Business

First Name

KELLI

Middle

MICHELLE

Last Name

FROMAN

Business Name

KELLI MICHELLE FROMAN

Original Issue Date

05/09/2005

Effective Date

03/23/2010

Expiration Date

03/31/2012

City

COLUMBIA

State

Zip

65201

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/07/2012