VICKI A BUSSART Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049234626

License Status

NOT RENEWED

Business

First Name

VICKI

Middle

Last Name

BUSSART

Prefix

Business Name

VICKI A BUSSART

Original Issue Date

07/20/2015

Effective Date

02/10/2016

Expiration Date

03/31/2017

City

PESOTUM

State

Zip

61863

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/10/2017