KATHLEEN ANN RAIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149224

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

ANN

Last Name

RAIA

Business Name

KATHLEEN ANN RAIA

Original Issue Date

06/24/2003

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2009