KATHY LAVONNE MITCHELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156974

License Status

NOT RENEWED

Business

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

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/20/2005