KATHRYN AZZARA RAYNOLDS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031757

License Status

INACTIVE

Business

First Name

KATHRYN AZZARA

Last Name

RAYNOLDS

Business Name

KATHRYN AZZARA RAYNOLDS

Original Issue Date

08/18/1977

Effective Date

03/05/2022

Expiration Date

03/31/2024

City

BUFFALO

State

Zip

62515

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/31/2023