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30 <br />Page 1 of 1 <br />Candace Kelly <br />Volunteer Application <br />Orange County Advisory Boards and Gommissions <br />Name: Dr Candace Kelly <br />Name Called: <br />Home Address: 1722 Allard <br /> Chapel Hill NC 27514 <br />Phone: (Day) 919-918-7720 <br />Phone: (Evening) 919-918-7720 <br />Fax: <br />Email: ckelly@unch.unc,edu <br />Place of Employment: UNC Health Care <br />Job Title: Clinical Pharmacist <br />Township of Residence: Chapel Hill <br />Zone of Residence: <br />Sex: <br />Ethnic Background: <br />Date of Birth: <br />Boards/Commissior <br />Board of Health <br />Work Experience: <br />Pharmacist <br />C.H, City Limits <br />Female <br />Caucasian <br />6/18/1952 <br />~s applied for: <br />Volunteer Experience: <br />None listed on application, <br />Education: <br />BS in Pharmacy -University of Michigan; Doctor of Pharmacy- University of Florida <br />Other Comments: <br />STAFF NOTES: Original application received 6/18/04 for Orange County Board of <br />Health. ADDRESS VERIFICATION: 1722 Allard Rd., Chapel Hill, NC 27514 (current <br />6/18/2004) is located within Chapel Hill City Limits, MOAD/ncg. <br />This application was current on: 6/16/2004 Date Ptinted: 5/6/2005 <br />