KATIE A EKSTAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159676

License Status

NOT RENEWED

Business

First Name

KATIE

Middle

Last Name

EKSTAM

Business Name

KATIE A EKSTAM

Original Issue Date

03/23/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/14/2007