TRISTAN M PAR Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151076

License Status

INACTIVE

Business

First Name

TRISTAN

Middle

Last Name

PAR

Business Name

TRISTAN M PAR

Original Issue Date

09/30/2003

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60659

County

COOK

Ever Disciplined

LastModifiedDate

01/06/2009