KATHERINE A EVENSEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117653

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

Last Name

EVENSEN

Business Name

KATHERINE A EVENSEN

Original Issue Date

05/20/1997

Effective Date

05/20/1997

Expiration Date

03/31/1998

City

ROCK FALLS

State

Zip

61071

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/17/2005