KATHLEEN L FOUNTAIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179747

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

FOUNTAIN

Business Name

KATHLEEN L FOUNTAIN

Original Issue Date

10/05/2007

Effective Date

10/05/2007

Expiration Date

03/31/2008

City

MORRIS

State

Zip

60450

County

GRUNDY

Ever Disciplined

LastModifiedDate

05/02/2008