ASHLEY M KRSTULOVICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203145

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

Last Name

KRSTULOVICH

Prefix

Business Name

ASHLEY M KRSTULOVICH

Original Issue Date

03/11/2011

Effective Date

03/11/2011

Expiration Date

03/31/2012

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/07/2012