CARI ANNE NYSTROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139143

License Status

NOT RENEWED

Business

First Name

CARI

Middle

ANNE

Last Name

NYSTROM

Business Name

CARI ANNE NYSTROM

Original Issue Date

11/09/2001

Effective Date

11/09/2001

Expiration Date

03/31/2005

City

PEKIN

State

Zip

61554

County

LOGAN

Ever Disciplined

LastModifiedDate

10/20/2005