KRISTINE DORN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049174706

License Status

NOT RENEWED

Business

First Name

KRISTINE

Last Name

DORN

Business Name

KRISTINE DORN

Original Issue Date

03/08/2007

Effective Date

02/16/2010

Expiration Date

03/31/2011

City

IXONIA

State

Zip

53036

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/12/2011