REGINA MARIE MCCUISTION Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161757

License Status

NOT RENEWED

Business

First Name

REGINA

Middle

MARIE

Last Name

MCCUISTION

Business Name

REGINA MARIE MCCUISTION

Original Issue Date

06/17/2005

Effective Date

06/17/2005

Expiration Date

03/31/2006

City

BARTONVILLE

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2006