KRISTIN L IVERSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049093776

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

Last Name

IVERSEN

Business Name

KRISTIN L IVERSEN

Original Issue Date

07/14/1990

Effective Date

07/14/1990

Expiration Date

03/31/1995

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/17/2005