KRISTINE LARGE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178748

License Status

INACTIVE

Business

First Name

KRISTINE

Last Name

LARGE

Business Name

KRISTINE LARGE

Original Issue Date

08/27/2007

Effective Date

01/10/2011

Expiration Date

03/31/2012

City

LEWISTOWN

State

Zip

61542

County

FULTON

Ever Disciplined

LastModifiedDate

01/12/2012