KATELYN NICOLE PRATT MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207641

License Status

NOT RENEWED

Business

Title

First Name

KATELYN

Middle

NICOLE

Last Name

PRATT

Prefix

Business Name

KATELYN NICOLE PRATT MD

Original Issue Date

11/06/2011

Effective Date

03/21/2012

Expiration Date

03/31/2013

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2013