CASEY A LUSTRE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049282754

License Status

NOT RENEWED

Business

First Name

CASEY

Middle

Last Name

LUSTRE

Business Name

CASEY A LUSTRE

Original Issue Date

05/29/2021

Effective Date

05/29/2021

Expiration Date

05/31/2022

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022