KELLIE RENAE PHILLIPS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127057

License Status

INACTIVE

Business

First Name

KELLIE

Middle

RENAE

Last Name

PHILLIPS

Business Name

KELLIE RENAE PHILLIPS

Original Issue Date

08/19/1999

Effective Date

01/27/2014

Expiration Date

03/31/2015

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/06/2015