KRISTA J MAST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148390

License Status

NOT RENEWED

Business

First Name

KRISTA

Middle

Last Name

MAST

Business Name

KRISTA J MAST

Original Issue Date

04/29/2003

Effective Date

02/04/2016

Expiration Date

03/31/2017

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/10/2017