CAROLYN G MAST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079561

License Status

NOT RENEWED

Business

First Name

CAROLYN G

Last Name

MAST

Business Name

CAROLYN G MAST

Original Issue Date

03/13/1984

Effective Date

03/13/1984

Expiration Date

03/31/2004

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005