LISA A TRISTAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049080008

License Status

NOT RENEWED

Business

First Name

LISA A

Last Name

TRISTAN

Business Name

LISA A TRISTAN

Original Issue Date

07/31/1984

Effective Date

07/31/1984

Expiration Date

03/31/1986

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005