KRYSTIN MARIE DODGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254237

License Status

NOT RENEWED

Business

First Name

KRYSTIN

Middle

MARIE

Last Name

DODGE

Business Name

KRYSTIN MARIE DODGE

Original Issue Date

11/07/2017

Effective Date

11/07/2017

Expiration Date

03/31/2018

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/19/2018