KATHLEEN J BANACH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138364

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

BANACH

Business Name

KATHLEEN J BANACH

Original Issue Date

09/19/2001

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/02/2008