KRISTEN L SPORLEDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141440

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

Last Name

SPORLEDER

Business Name

KRISTEN L SPORLEDER

Original Issue Date

03/15/2002

Effective Date

03/15/2002

Expiration Date

03/31/2005

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/20/2005