TIM W TRIEST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153421

License Status

NOT RENEWED

Business

First Name

TIM

Middle

Last Name

TRIEST

Business Name

TIM W TRIEST

Original Issue Date

03/02/2004

Effective Date

03/02/2004

Expiration Date

03/31/2006

City

DE SOTO

State

Zip

62924

County

JACKSON

Ever Disciplined

LastModifiedDate

05/11/2006