Kelly L Humphrey
ActiveCalifornia license 23076
License
- Licensed by
- California State Board of Pharmacy
- License number
- 23076
- Status
- Active
- First issued
- August 17, 2016
- Expires
- August 1, 2027
- License holder
- Kelly L Humphrey
- Entity type
- Individual
Classifications
- Wls/mfg Designated Representative In Charge Pharmacy
More from the license record
- License type code
- EXC
- School
- Other/fg
- Year graduated
- 2015
- Degree
- Degree Not Applicable
Contact
6414 115th Ave
Kenosha, WI 53142
Kenosha, WI 53142