DONNA JEAN PRISTAVE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070632

License Status

NOT RENEWED

Business

First Name

DONNA JEAN

Last Name

PRISTAVE

Business Name

DONNA JEAN PRISTAVE

Original Issue Date

02/02/1979

Effective Date

02/02/1979

Expiration Date

03/31/1982

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005