POLLY A RALSTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187765

License Status

NOT RENEWED

Business

First Name

POLLY

Middle

Last Name

RALSTON

Prefix

Business Name

POLLY A RALSTON

Original Issue Date

10/19/2008

Effective Date

03/16/2009

Expiration Date

03/31/2010

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/04/2010