KELLY MICHELLE SACKERSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176992

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

MICHELLE

Last Name

SACKERSON

Business Name

KELLY MICHELLE SACKERSON

Original Issue Date

06/13/2007

Effective Date

03/16/2011

Expiration Date

03/31/2012

City

GREENFIELD

State

Zip

53220

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/07/2012