KRISTIE ANN PLAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176423

License Status

NOT RENEWED

Business

First Name

KRISTIE

Middle

ANN

Last Name

PLAKE

Business Name

KRISTIE ANN PLAKE

Original Issue Date

05/17/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

05/06/2009