KRISTY M ROSENBROCK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148619

License Status

NOT RENEWED

Business

First Name

KRISTY

Middle

Last Name

ROSENBROCK

Business Name

KRISTY M ROSENBROCK

Original Issue Date

05/29/2003

Effective Date

05/29/2003

Expiration Date

03/31/2004

City

GOODLAND

State

Zip

47948

County

INDIANA

Ever Disciplined

LastModifiedDate

10/20/2005