MARY CLARE LOUISE KAGAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119663

License Status

NOT RENEWED

Business

First Name

MARY CLARE

Middle

LOUISE

Last Name

KAGAN

Business Name

MARY CLARE LOUISE KAGAN

Original Issue Date

12/23/1997

Effective Date

08/26/2022

Expiration Date

03/31/2023

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/07/2023