CHANTELLE PELLUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217849

License Status

NOT RENEWED

Business

First Name

CHANTELLE

Last Name

PELLUM

Business Name

CHANTELLE PELLUM

Original Issue Date

05/13/2013

Effective Date

05/13/2013

Expiration Date

03/31/2014

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2014