TRINA SJOSTROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073678

License Status

NOT RENEWED

Business

First Name

TRINA

Last Name

SJOSTROM

Business Name

TRINA SJOSTROM

Original Issue Date

10/03/1980

Effective Date

10/03/1980

Expiration Date

03/31/1982

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005