CARISSA AMBER PRENTICE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142685

License Status

NOT RENEWED

Business

First Name

CARISSA

Middle

AMBER

Last Name

PRENTICE

Business Name

CARISSA AMBER PRENTICE

Original Issue Date

05/29/2002

Effective Date

05/29/2002

Expiration Date

03/31/2003

City

MACHESNEY PARK

State

Zip

61115

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005