LYNN GILLIAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116688

License Status

NOT RENEWED

Business

First Name

LYNN

Last Name

GILLIAM

Business Name

LYNN GILLIAM

Original Issue Date

03/05/1997

Effective Date

01/31/2011

Expiration Date

03/31/2012

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012