CALEA DRISCOLL BASTNAGEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158729

License Status

NOT RENEWED

Business

First Name

CALEA

Middle

DRISCOLL

Last Name

BASTNAGEL

Business Name

CALEA DRISCOLL BASTNAGEL

Original Issue Date

01/03/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009