KATIE SUSAN ANZALONE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049253841

License Status

NOT RENEWED

Business

First Name

KATIE

Middle

SUSAN

Last Name

ANZALONE

Business Name

KATIE SUSAN ANZALONE

Original Issue Date

10/23/2017

Effective Date

01/18/2018

Expiration Date

03/31/2019

City

KENOSHA

State

Zip

53144

Ever Disciplined

LastModifiedDate

07/15/2019