KRISTIAN MARIE VALENCIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146985

License Status

NOT RENEWED

Business

First Name

KRISTIAN

Middle

MARIE

Last Name

VALENCIA

Business Name

KRISTIAN MARIE VALENCIA

Original Issue Date

02/14/2003

Effective Date

02/14/2003

Expiration Date

03/31/2004

City

ROXANA

State

Zip

62084

County

MADISON

Ever Disciplined

LastModifiedDate

10/20/2005