KRISTEN QUERCIAGROSSA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051037014

License Status

INACTIVE

Business

First Name

KRISTEN

Last Name

QUERCIAGROSSA

Business Name

KRISTEN QUERCIAGROSSA

Original Issue Date

08/26/1988

Effective Date

04/10/2022

Expiration Date

03/31/2024

City

LACON

State

Zip

61540

County

MARSHALL

Ever Disciplined

LastModifiedDate

01/12/2024