KELLIE RENAE HERNDON - Pharmacist License in Illinois | # 049129481

KELLIE RENAE HERNDON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129481

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005