KELLENE LYNN LAMOTHE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129342

License Status

INACTIVE

Business

First Name

KELLENE

Middle

LYNN

Last Name

LAMOTHE

Business Name

KELLENE LYNN LAMOTHE

Original Issue Date

02/17/2000

Effective Date

01/21/2010

Expiration Date

03/31/2011

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/05/2011