KRISTEN A MOTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172637

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

Last Name

MOTA

Business Name

KRISTEN A MOTA

Original Issue Date

11/17/2006

Effective Date

01/31/2012

Expiration Date

03/31/2013

City

BRADENTON

State

Zip

34203

Ever Disciplined

LastModifiedDate

05/06/2013