KATIE J MEDINA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049240410

License Status

NOT RENEWED

Business

First Name

KATIE

Middle

Last Name

MEDINA

Prefix

Business Name

KATIE J MEDINA

Original Issue Date

03/24/2016

Effective Date

03/24/2016

Expiration Date

03/31/2017

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/10/2017