MARY CHRISLYN Y BUSTOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113061

License Status

NOT RENEWED

Business

First Name

MARY CHRISLYN

Middle

Last Name

BUSTOS

Business Name

MARY CHRISLYN Y BUSTOS

Original Issue Date

01/24/1996

Effective Date

01/24/1996

Expiration Date

03/31/2002

City

ROUND LAKE

State

Zip

60073

Ever Disciplined

LastModifiedDate

12/06/2005