Pharmacist
PHARMACY TECHNICIAN
049133608
NOT RENEWED
N
TIMOTHY
LARELLEY
MITCHELL
TIMOTHY LARELLEY MITCHELL
11/13/2000
11/13/2000
03/31/2006
SOUTH HOLLAND
IL
60473
COOK
Y
08/22/2012
2012007749
Refuse To Renew
08/22/2012
for being more than 30 days delinquent in the payment of child support.