KRISTINA K LIST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205908

License Status

NOT RENEWED

Business

First Name

KRISTINA

Middle

Last Name

LIST

Business Name

KRISTINA K LIST

Original Issue Date

08/09/2011

Effective Date

03/03/2016

Expiration Date

03/31/2017

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

05/10/2017