CAMILLE VIVIANA THOMAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049247300

License Status

NOT RENEWED

Business

First Name

CAMILLE

Middle

VIVIANA

Last Name

THOMAS

Business Name

CAMILLE VIVIANA THOMAS

Original Issue Date

12/22/2016

Effective Date

12/22/2016

Expiration Date

03/31/2017

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2017