KRISTY LYNN PERERA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161455

License Status

INACTIVE

Business

First Name

KRISTY

Middle

LYNN

Last Name

PERERA

Business Name

KRISTY LYNN PERERA

Original Issue Date

06/03/2005

Effective Date

01/12/2010

Expiration Date

03/31/2011

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/05/2011