KELLY RENEE SEPULVEDA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167442

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

RENEE

Last Name

SEPULVEDA

Business Name

KELLY RENEE SEPULVEDA

Original Issue Date

04/06/2006

Effective Date

02/23/2009

Expiration Date

03/31/2010

City

GLEN ALLEN

State

Zip

23059

Ever Disciplined

LastModifiedDate

05/04/2010