DANE K CRIST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115258

License Status

NOT RENEWED

Business

First Name

DANE K

Last Name

CRIST

Business Name

DANE K CRIST

Original Issue Date

09/19/1996

Effective Date

09/19/1996

Expiration Date

03/31/2002

City

ALEXIS

State

Zip

61412

County

WARREN

Ever Disciplined

LastModifiedDate

12/06/2005