DAWN L PRYSTUP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157518

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

Last Name

PRYSTUP

Business Name

DAWN L PRYSTUP

Original Issue Date

10/20/2004

Effective Date

03/10/2006

Expiration Date

03/31/2007

City

NORTH VERNON

State

Zip

47265

County

BOONE

Ever Disciplined

LastModifiedDate

05/14/2007