CHRISTEN D PARKS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175061

License Status

INACTIVE

Business

First Name

CHRISTEN

Middle

Last Name

PARKS

Business Name

CHRISTEN D PARKS

Original Issue Date

03/26/2007

Effective Date

01/10/2011

Expiration Date

03/31/2012

City

TABLE GROVE

State

Zip

61482

Ever Disciplined

LastModifiedDate

01/12/2012