KRISTIN K WILCOXEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130922

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

Last Name

WILCOXEN

Business Name

KRISTIN K WILCOXEN

Original Issue Date

05/23/2000

Effective Date

05/23/2000

Expiration Date

03/31/2003

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

10/20/2005