KATHY LEA MITTLESTAEDT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146086

License Status

NOT RENEWED

Business

First Name

KATHY

Middle

LEA

Last Name

MITTLESTAEDT

Business Name

KATHY LEA MITTLESTAEDT

Original Issue Date

11/25/2002

Effective Date

11/25/2002

Expiration Date

03/31/2004

City

BLOOMINGDALE

State

Zip

60108

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005