KRISTIN L DEFRIES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188044

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

Last Name

DEFRIES

Business Name

KRISTIN L DEFRIES

Original Issue Date

10/28/2008

Effective Date

02/05/2010

Expiration Date

03/31/2011

City

CROPSEY

State

Zip

61731

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/12/2011