KATELYN JEAN BRISCOE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164619

License Status

NOT RENEWED

Business

First Name

KATELYN

Middle

JEAN

Last Name

BRISCOE

Business Name

KATELYN JEAN BRISCOE

Original Issue Date

10/26/2005

Effective Date

03/31/2010

Expiration Date

03/31/2011

City

WHITE HALL

State

Zip

62092

County

GREENE

Ever Disciplined

LastModifiedDate

05/12/2011