TRISTA RANAE CHARLTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140569

License Status

NOT RENEWED

Business

First Name

TRISTA

Middle

RANAE

Last Name

CHARLTON

Business Name

TRISTA RANAE CHARLTON

Original Issue Date

02/06/2002

Effective Date

02/06/2002

Expiration Date

03/31/2004

City

AUBURN

State

Zip

62615

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005