KELLIE RENEE WHITE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164402

License Status

NOT RENEWED

Business

First Name

KELLIE

Middle

RENEE

Last Name

WHITE

Business Name

KELLIE RENEE WHITE

Original Issue Date

10/06/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

MOMENCE

State

Zip

60954

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/14/2007