KRISTIN MICHELLE MUSGRAVE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156789

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

MICHELLE

Last Name

MUSGRAVE

Business Name

KRISTIN MICHELLE MUSGRAVE

Original Issue Date

08/19/2004

Effective Date

08/19/2004

Expiration Date

03/31/2006

City

FAIRFIELD

State

Zip

62837

County

WAYNE

Ever Disciplined

LastModifiedDate

05/11/2006