CAITLIN B KIRK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163533

License Status

NOT RENEWED

Business

First Name

CAITLIN

Middle

Last Name

KIRK

Business Name

CAITLIN B KIRK

Original Issue Date

09/06/2005

Effective Date

02/24/2011

Expiration Date

03/31/2012

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012