KASSIDI RAE CRIST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049248798

License Status

NOT RENEWED

Business

First Name

KASSIDI

Middle

RAE

Last Name

CRIST

Business Name

KASSIDI RAE CRIST

Original Issue Date

03/02/2017

Effective Date

03/02/2017

Expiration Date

03/31/2018

City

CHAMPAIGN

State

Zip

61822

Ever Disciplined

LastModifiedDate

06/19/2018