KATHLEEN M ROUSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049212421

License Status

NOT RENEWED

Business

First Name

KATHLEEN

Middle

Last Name

ROUSE

Business Name

KATHLEEN M ROUSE

Original Issue Date

07/25/2012

Effective Date

03/17/2016

Expiration Date

03/31/2017

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/10/2017