ROBERT LEROY CRIST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149606

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

LEROY

Last Name

CRIST

Business Name

ROBERT LEROY CRIST

Original Issue Date

07/25/2003

Effective Date

07/25/2003

Expiration Date

03/31/2006

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/11/2006