DAVID S LUSTIG Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051025801

License Status

INACTIVE

Business

First Name

DAVID S

Last Name

LUSTIG

Business Name

DAVID S LUSTIG

Original Issue Date

01/01/1997

Effective Date

01/20/2010

Expiration Date

03/31/2012

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

12/12/2012

Case Number

1989001532

Action

Suspension

Discipline Start Date

01/22/1990

Discipline End Date

02/21/1990