KRISTEN LYN WADE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144362

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

LYN

Last Name

WADE

Business Name

KRISTEN LYN WADE

Original Issue Date

08/27/2002

Effective Date

03/23/2009

Expiration Date

03/31/2010

City

MOUNT PULASKI

State

Zip

62548

County

LOGAN

Ever Disciplined

LastModifiedDate

05/04/2010