KANDISE NICOLE ROSENBAUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184658

License Status

NOT RENEWED

Business

First Name

KANDISE

Middle

NICOLE

Last Name

ROSENBAUM

Business Name

KANDISE NICOLE ROSENBAUM

Original Issue Date

06/03/2008

Effective Date

01/12/2009

Expiration Date

03/31/2010

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010