KELLI LEE KIBODEAUX Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120092

License Status

NOT RENEWED

Business

First Name

KELLI

Middle

LEE

Last Name

KIBODEAUX

Business Name

KELLI LEE KIBODEAUX

Original Issue Date

02/19/1998

Effective Date

02/19/1998

Expiration Date

03/31/2005

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/20/2005