KATIE N MOTHERSHED Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051298182

License Status

NOT RENEWED

Business

First Name

KATIE

Middle

Last Name

MOTHERSHED

Business Name

KATIE N MOTHERSHED

Original Issue Date

10/17/2014

Effective Date

01/04/2020

Expiration Date

07/31/2022

City

BALLWIN

State

Zip

63021

County

MADISON

Ever Disciplined

LastModifiedDate

10/14/2022