KENDALL RAE SPARKMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049241765

License Status

NOT RENEWED

Business

First Name

KENDALL

Middle

RAE

Last Name

SPARKMAN

Business Name

KENDALL RAE SPARKMAN

Original Issue Date

05/10/2016

Effective Date

03/13/2018

Expiration Date

03/31/2019

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

07/15/2019