KATIE ELLEN VAN DAME - Pharmacist License in Illinois | # 049267981

KATIE ELLEN VAN DAME

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267981

License Status

NOT RENEWED

Business

N

First Name

KATIE

Middle

ELLEN

Last Name

VAN DAME

Business Name

KATIE ELLEN VAN DAME

Original Issue Date

09/23/2019

Effective Date

09/23/2019

Expiration Date

09/30/2020

State

IL

Ever Disciplined

N

LastModifiedDate

01/08/2021