CHRIS M HOSTICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152829

License Status

NOT RENEWED

Business

First Name

CHRIS

Middle

Last Name

HOSTICK

Business Name

CHRIS M HOSTICK

Original Issue Date

01/12/2004

Effective Date

01/12/2004

Expiration Date

03/31/2005

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005

Case Number

2004001202

Action

Suspension

Discipline Start Date

06/21/2005

Discipline Reason

DIVERTED THREE TO FOUR TABLETS OF XANAX AND 14 TABLETS OF DIAZEPAM, BOTH A SCHEDULE IV CONTROLLED SUBSTANCES, FOR SELF-USE.