KACI M ETIENNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209150

License Status

NOT RENEWED

Business

First Name

KACI

Middle

Last Name

ETIENNE

Business Name

KACI M ETIENNE

Original Issue Date

02/10/2012

Effective Date

04/03/2013

Expiration Date

03/31/2014

City

MCLEANSBORO

State

Zip

62859

County

HAMILTON

Ever Disciplined

LastModifiedDate

05/06/2014