KELLIE MARIE MIMS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131514

License Status

NOT RENEWED

Business

First Name

KELLIE

Middle

MARIE

Last Name

MIMS

Business Name

KELLIE MARIE MIMS

Original Issue Date

07/11/2000

Effective Date

07/11/2000

Expiration Date

03/31/2004

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005