KRISTEL ANN CORREA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165724

License Status

NOT RENEWED

Business

First Name

KRISTEL

Middle

ANN

Last Name

CORREA

Business Name

KRISTEL ANN CORREA

Original Issue Date

12/19/2005

Effective Date

02/22/2012

Expiration Date

03/31/2013

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/06/2013