TRISTAN PATRICK FREESE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266353

License Status

NOT RENEWED

Business

First Name

TRISTAN

Middle

PATRICK

Last Name

FREESE

Business Name

TRISTAN PATRICK FREESE

Original Issue Date

06/28/2019

Effective Date

01/14/2020

Expiration Date

03/31/2021

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

07/20/2021