LOREALE BRIDGET KIRBY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213448

License Status

NOT RENEWED

Business

First Name

LOREALE

Middle

BRIDGET

Last Name

KIRBY

Business Name

LOREALE BRIDGET KIRBY

Original Issue Date

09/12/2012

Effective Date

09/12/2012

Expiration Date

03/31/2013

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/06/2013