KATIE ELLEN VAN DAME Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267981

License Status

NOT RENEWED

Business

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

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021