KATIE LEE VAN VELSOR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049240058

License Status

NOT RENEWED

Business

First Name

KATIE

Middle

LEE

Last Name

VAN VELSOR

Business Name

KATIE LEE VAN VELSOR

Original Issue Date

03/11/2016

Effective Date

03/30/2017

Expiration Date

03/31/2018

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

06/19/2018