KRISTEN QUERCIAGROSSA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079548

License Status

NOT RENEWED

Business

First Name

KRISTEN

Last Name

QUERCIAGROSSA

Business Name

KRISTEN QUERCIAGROSSA

Original Issue Date

03/13/1984

Effective Date

03/13/1984

Expiration Date

03/31/1989

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005