PAMELA GAIL BRISTOL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173426

License Status

NOT RENEWED

Business

First Name

PAMELA

Middle

GAIL

Last Name

BRISTOL

Business Name

PAMELA GAIL BRISTOL

Original Issue Date

01/02/2007

Effective Date

01/02/2007

Expiration Date

03/31/2007

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/14/2007