KATRINA ANITA EVANS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189473

License Status

NOT RENEWED

Business

First Name

KATRINA

Middle

ANITA

Last Name

EVANS

Business Name

KATRINA ANITA EVANS

Original Issue Date

02/04/2009

Effective Date

02/22/2011

Expiration Date

03/31/2012

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/07/2012