KATIE REBEKAH KICKERTZ DDS - Pharmacist License in North Carolina | # 049147768

KATIE REBEKAH KICKERTZ DDS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147768

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

KATIE

Middle

REBEKAH

Last Name

KICKERTZ

Business Name

KATIE REBEKAH KICKERTZ DDS

Original Issue Date

04/02/2003

Effective Date

04/02/2003

Expiration Date

03/31/2005

State

NC

Ever Disciplined

N

LastModifiedDate

10/20/2005