KIRSTEN FORSLUND THOMAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144528

License Status

NOT RENEWED

Business

First Name

KIRSTEN

Middle

FORSLUND

Last Name

THOMAS

Business Name

KIRSTEN FORSLUND THOMAS

Original Issue Date

09/05/2002

Effective Date

09/05/2002

Expiration Date

03/31/2003

City

EVANSTON

State

Zip

60202

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005