KATHY A SIRTAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098925

License Status

NOT RENEWED

Business

First Name

KATHY A

Last Name

SIRTAK

Business Name

KATHY A SIRTAK

Original Issue Date

12/23/1991

Effective Date

12/23/1991

Expiration Date

03/31/1993

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005