KRISTEN REA GEPHART Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118986

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

REA

Last Name

GEPHART

Business Name

KRISTEN REA GEPHART

Original Issue Date

10/07/1997

Effective Date

10/07/1997

Expiration Date

03/31/2000

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005