CRYSTAL M TISCKOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142640

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

Last Name

TISCKOS

Business Name

CRYSTAL M TISCKOS

Original Issue Date

05/28/2002

Effective Date

05/28/2002

Expiration Date

03/31/2003

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005