CAITLYNN MARIE COUNTERMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207985

License Status

NOT RENEWED

Business

First Name

CAITLYNN

Middle

MARIE

Last Name

COUNTERMAN

Business Name

CAITLYNN MARIE COUNTERMAN

Original Issue Date

11/23/2011

Effective Date

03/05/2012

Expiration Date

03/31/2013

City

PEORIA

State

Zip

61604

Ever Disciplined

LastModifiedDate

05/06/2013