KATHERINE THERESE CHAMPLAIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049289532

License Status

NOT RENEWED

Business

First Name

KATHERINE

Middle

THERESE

Last Name

CHAMPLAIN

Business Name

KATHERINE THERESE CHAMPLAIN

Original Issue Date

01/11/2022

Effective Date

04/01/2023

Expiration Date

03/31/2024

City

OAK LAWN

State

Zip

60453

Ever Disciplined

LastModifiedDate

01/03/2025