FAWNA KAMP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202166

License Status

NOT RENEWED

Business

First Name

FAWNA

Last Name

KAMP

Prefix

Business Name

FAWNA KAMP

Original Issue Date

01/04/2011

Effective Date

03/03/2014

Expiration Date

03/31/2015

City

FISHER

State

Zip

61843

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/11/2015