KIRSTEN S DEGEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163184

License Status

NOT RENEWED

Business

First Name

KIRSTEN

Middle

Last Name

DEGEN

Business Name

KIRSTEN S DEGEN

Original Issue Date

08/23/2005

Effective Date

05/14/2007

Expiration Date

03/31/2008

City

ISLIP TERRACE

State

Zip

11752

County

NEW YORK

Ever Disciplined

LastModifiedDate

05/02/2008