KATE JEAN MORMANN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138762

License Status

NOT RENEWED

Business

First Name

KATE

Middle

JEAN

Last Name

MORMANN

Business Name

KATE JEAN MORMANN

Original Issue Date

10/22/2001

Effective Date

10/22/2001

Expiration Date

03/31/2005

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/20/2005