RICHELLE CRYSTAL PENTECOST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156867

License Status

NOT RENEWED

Business

First Name

RICHELLE

Middle

CRYSTAL

Last Name

PENTECOST

Business Name

RICHELLE CRYSTAL PENTECOST

Original Issue Date

08/23/2004

Effective Date

08/23/2004

Expiration Date

03/31/2006

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

05/11/2006