EDWIN F CRISOSTOMO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154074

License Status

NOT RENEWED

Business

First Name

EDWIN

Middle

Last Name

CRISOSTOMO

Business Name

EDWIN F CRISOSTOMO

Original Issue Date

04/15/2004

Effective Date

04/15/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006