KELLY JEAN HERRERA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215650

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

JEAN

Last Name

HERRERA

Business Name

KELLY JEAN HERRERA

Original Issue Date

01/23/2013

Effective Date

01/23/2013

Expiration Date

03/31/2014

City

OSHKOSH

State

Zip

54904

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/06/2014