KRISTEN MICHELLE SECREST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153812

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

MICHELLE

Last Name

SECREST

Business Name

KRISTEN MICHELLE SECREST

Original Issue Date

03/22/2004

Effective Date

03/09/2015

Expiration Date

03/31/2016

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

05/20/2016