KELLIE D FARNUM - Pharmacist License in Illinois | # 049162325

KELLIE D FARNUM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162325

License Status

NOT RENEWED

Business

N

First Name

KELLIE

Middle

D

Last Name

FARNUM

Business Name

KELLIE D FARNUM

Original Issue Date

07/15/2005

Effective Date

03/26/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019