KELLIE RENAE HERNDON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129481

License Status

NOT RENEWED

Business

First Name

KELLIE

Middle

RENAE

Last Name

HERNDON

Business Name

KELLIE RENAE HERNDON

Original Issue Date

02/23/2000

Effective Date

02/23/2000

Expiration Date

03/31/2001

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005