KAITLIN M STASSI Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163482

License Status

NOT RENEWED

Business

First Name

KAITLIN

Middle

Last Name

STASSI

Business Name

KAITLIN M STASSI

Original Issue Date

09/02/2005

Effective Date

02/14/2011

Expiration Date

03/31/2012

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

05/07/2012