KATELYN J SLACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194218

License Status

NOT RENEWED

Business

First Name

KATELYN

Middle

Last Name

SLACK

Prefix

Business Name

KATELYN J SLACK

Original Issue Date

09/14/2009

Effective Date

09/14/2009

Expiration Date

03/31/2010

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/04/2010