ANN CARRIE BRISTOL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119803

License Status

NOT RENEWED

Business

First Name

ANN

Middle

CARRIE

Last Name

BRISTOL

Business Name

ANN CARRIE BRISTOL

Original Issue Date

01/12/1998

Effective Date

01/12/1998

Expiration Date

03/31/2005

City

WADSWORTH

State

Zip

60083

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005