KATHY E BAIR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152866

License Status

NOT RENEWED

Business

First Name

KATHY

Middle

Last Name

BAIR

Business Name

KATHY E BAIR

Original Issue Date

01/15/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2009