KELLY LYNN MICKEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051301868

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

LYNN

Last Name

MICKEY

Business Name

KELLY LYNN MICKEY

Original Issue Date

01/15/2019

Effective Date

02/18/2020

Expiration Date

07/31/2022

City

SAINT LOUIS

State

Zip

63130

Ever Disciplined

LastModifiedDate

10/14/2022