KELLI LEE KIBODEAUX - Pharmacist License in Illinois | # 049120092

KELLI LEE KIBODEAUX

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120092

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005