KELLY KRISTINE PENDERGRASS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051040152

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

KRISTINE

Last Name

PENDERGRASS

Business Name

KELLY KRISTINE PENDERGRASS

Original Issue Date

12/28/1994

Effective Date

12/28/1994

Expiration Date

03/31/2002

City

RICHMOND

State

Zip

77469

County

TEXAS

Ever Disciplined

LastModifiedDate

12/06/2005