KELLIE ELIZABETH BIBB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142597

License Status

NOT RENEWED

Business

First Name

KELLIE

Middle

ELIZABETH

Last Name

BIBB

Business Name

KELLIE ELIZABETH BIBB

Original Issue Date

05/24/2002

Effective Date

05/24/2002

Expiration Date

03/31/2003

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005