KATHLEEN LOUISE SAMPLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134538

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

LOUISE

Last Name

SAMPLE

Business Name

KATHLEEN LOUISE SAMPLE

Original Issue Date

02/09/2001

Effective Date

02/13/2018

Expiration Date

03/31/2019

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

07/15/2019