REBECCA L BRISTOW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150814

License Status

NOT RENEWED

Business

First Name

REBECCA

Middle

Last Name

BRISTOW

Business Name

REBECCA L BRISTOW

Original Issue Date

09/24/2003

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

BETHALTO

State

Zip

62010

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2009