KIMILLE BERTHIAUME Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070779

License Status

NOT RENEWED

Business

First Name

KIMILLE

Last Name

BERTHIAUME

Business Name

KIMILLE BERTHIAUME

Original Issue Date

03/02/1979

Effective Date

03/02/1979

Expiration Date

03/31/1984

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

10/17/2005