KIMILLE BERTHIAUME - Pharmacist License in Illinois | # 049070779

KIMILLE BERTHIAUME

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070779

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005