KATHERINE L ELAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062068

License Status

NOT RENEWED

Business

First Name

KATHERINE L

Last Name

ELAM

Business Name

KATHERINE L ELAM

Original Issue Date

08/16/1974

Effective Date

08/16/1974

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005