ALYSE KATHERINE KETCHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254808

License Status

NOT RENEWED

Business

First Name

ALYSE

Middle

KATHERINE

Last Name

KETCHAM

Business Name

ALYSE KATHERINE KETCHAM

Original Issue Date

12/05/2017

Effective Date

02/26/2019

Expiration Date

09/30/2020

City

LAKEVILLE

State

Zip

55044

Ever Disciplined

LastModifiedDate

01/08/2021