TRISTA L SPITKOVSKY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049275206

License Status

NOT RENEWED

Business

First Name

TRISTA

Middle

Last Name

SPITKOVSKY

Business Name

TRISTA L SPITKOVSKY

Original Issue Date

08/21/2020

Effective Date

08/21/2020

Expiration Date

03/31/2021

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/20/2021