KRISTAN M LONG-AUGUSTIN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051040240

License Status

INACTIVE

Business

First Name

KRISTAN M

Last Name

LONG-AUGUSTIN

Business Name

KRISTAN M LONG-AUGUSTIN

Original Issue Date

06/13/1995

Effective Date

06/13/1995

Expiration Date

03/31/2004

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

12/06/2005