JOEL R BASTIEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178260

License Status

NOT RENEWED

Business

First Name

JOEL

Middle

Last Name

BASTIEN

Business Name

JOEL R BASTIEN

Original Issue Date

08/06/2007

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/20/2021