KRISTIE LYN KOSIROG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113897

License Status

NOT RENEWED

Business

First Name

KRISTIE

Middle

LYN

Last Name

KOSIROG

Business Name

KRISTIE LYN KOSIROG

Original Issue Date

04/03/1996

Effective Date

04/03/1996

Expiration Date

03/31/2001

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005