KARLI MARIE ILLUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049240394

License Status

NOT RENEWED

Business

First Name

KARLI

Middle

MARIE

Last Name

ILLUM

Business Name

KARLI MARIE ILLUM

Original Issue Date

03/23/2016

Effective Date

03/14/2017

Expiration Date

03/31/2018

City

CREAL SPRINGS

State

Zip

62922

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

06/19/2018