ADAIR B BRISTOW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049192818

License Status

NOT RENEWED

Business

First Name

ADAIR

Middle

Last Name

BRISTOW

Prefix

Business Name

ADAIR B BRISTOW

Original Issue Date

07/05/2009

Effective Date

07/05/2009

Expiration Date

03/31/2010

City

MONROE

State

Zip

53566

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/04/2010