KATIE REBEKAH KICKERTZ DDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147768

License Status

NOT RENEWED

Business

Title

DDS

First Name

KATIE

Middle

REBEKAH

Last Name

KICKERTZ

Business Name

KATIE REBEKAH KICKERTZ DDS

Original Issue Date

04/02/2003

Effective Date

04/02/2003

Expiration Date

03/31/2005

City

CHARLOTTE

State

Zip

28277

Ever Disciplined

LastModifiedDate

10/20/2005