KATHRYN NICOLE GALLOWAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155008

License Status

NOT RENEWED

Business

First Name

KATHRYN

Middle

NICOLE

Last Name

GALLOWAY

Business Name

KATHRYN NICOLE GALLOWAY

Original Issue Date

06/11/2004

Effective Date

09/13/2017

Expiration Date

03/31/2018

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/19/2018