CAITLIN RENEE VAN PELT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162718

License Status

NOT RENEWED

Business

First Name

CAITLIN

Middle

RENEE

Last Name

VAN PELT

Business Name

CAITLIN RENEE VAN PELT

Original Issue Date

08/03/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

PINCKNEYVILLE

State

Zip

62274

County

PERRY

Ever Disciplined

LastModifiedDate

05/02/2008