MARY B KELLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051038821

License Status

NOT RENEWED

Business

First Name

MARY B

Last Name

KELLY

Business Name

MARY B KELLY

Original Issue Date

06/23/1992

Effective Date

06/23/1992

Expiration Date

03/31/1996

City

EDEN PRAIRIE

State

Zip

55347

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

10/17/2005