TIMOTHY W BASTIAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086403

License Status

NOT RENEWED

Business

First Name

TIMOTHY W

Last Name

BASTIAN

Business Name

TIMOTHY W BASTIAN

Original Issue Date

04/16/1988

Effective Date

04/16/1988

Expiration Date

03/31/1989

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

10/17/2005