CHRISTINA BLUE WUSTMAN Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061220

License Status

CANCELLED

Business

First Name

CHRISTINA BLUE

Last Name

WUSTMAN

Business Name

CHRISTINA BLUE WUSTMAN

Original Issue Date

03/29/1974

Effective Date

03/29/1974

Expiration Date

01/01/1997

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005