KRISTEN E BACKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176856

License Status

NOT RENEWED

Business

First Name

KRISTEN

Middle

Last Name

BACKE

Business Name

KRISTEN E BACKE

Original Issue Date

06/07/2007

Effective Date

05/16/2012

Expiration Date

03/31/2013

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2013