KATY ANNE ICE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049247076

License Status

NOT RENEWED

Business

First Name

KATY

Middle

ANNE

Last Name

ICE

Business Name

KATY ANNE ICE

Original Issue Date

12/13/2016

Effective Date

01/13/2017

Expiration Date

03/31/2018

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

06/19/2018