INGRIDA KONTAUTAITE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192628

License Status

NOT RENEWED

Business

First Name

INGRIDA

Last Name

KONTAUTAITE

Business Name

INGRIDA KONTAUTAITE

Original Issue Date

06/25/2009

Effective Date

03/22/2012

Expiration Date

03/31/2013

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2013