KATHY LAVONNE MITCHELL - Pharmacist License in Illinois | # 049156974

KATHY LAVONNE MITCHELL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156974

License Status

NOT RENEWED

Business

N

First Name

KATHY

Middle

LAVONNE

Last Name

MITCHELL

Business Name

KATHY LAVONNE MITCHELL

Original Issue Date

08/27/2004

Effective Date

08/27/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005