MICHELLE R KILLAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215862

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

KILLAM

Business Name

MICHELLE R KILLAM

Original Issue Date

02/04/2013

Effective Date

03/03/2014

Expiration Date

03/31/2015

City

DIVERNON

State

Zip

62530

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2015