ANASTASIA RAE KIDD DC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154409

License Status

NOT RENEWED

Business

Title

First Name

ANASTASIA

Middle

RAE

Last Name

KIDD

Business Name

ANASTASIA RAE KIDD DC

Original Issue Date

05/19/2004

Effective Date

05/19/2004

Expiration Date

03/31/2006

City

PALATINE

State

Zip

60067

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006