GINA M REIST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149059

License Status

NOT RENEWED

Business

First Name

GINA

Middle

Last Name

REIST

Business Name

GINA M REIST

Original Issue Date

06/23/2003

Effective Date

06/23/2003

Expiration Date

03/31/2004

City

BROOKFIELD

State

Zip

60513

Ever Disciplined

LastModifiedDate

10/20/2005