CHRISTINA L PELLERIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154328

License Status

NOT RENEWED

Business

First Name

CHRISTINA

Middle

Last Name

PELLERIN

Business Name

CHRISTINA L PELLERIN

Original Issue Date

05/19/2004

Effective Date

05/19/2004

Expiration Date

03/31/2005

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Ever Disciplined

LastModifiedDate

10/20/2005