KASSIE J SPARKS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201708

License Status

NOT RENEWED

Business

First Name

KASSIE

Middle

Last Name

SPARKS

Business Name

KASSIE J SPARKS

Original Issue Date

11/29/2010

Effective Date

03/15/2015

Expiration Date

03/31/2016

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/20/2016