CHRISTINA M SERGOTT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157503

License Status

NOT RENEWED

Business

First Name

CHRISTINA

Middle

Last Name

SERGOTT

Business Name

CHRISTINA M SERGOTT

Original Issue Date

10/19/2004

Effective Date

10/19/2004

Expiration Date

03/31/2005

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005