KELLIE MARIE MIMS - Pharmacist License in Illinois | # 049131514

KELLIE MARIE MIMS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131514

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005