KETRINA DE CHAMP - Pharmacist License in Illinois | # 049215194

KETRINA DE CHAMP

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215194

License Status

NOT RENEWED

Business

N

First Name

KETRINA

Middle

DE

Last Name

CHAMP

Prefix

MR

Business Name

KETRINA DE CHAMP

Original Issue Date

12/28/2012

Effective Date

12/28/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013