Regent Crisostomo

Pharmacist

Loughman, United States

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Reveal information

Full name

REGENT CRISOSTOMO

Job Title

Pharmacist

Location

Loughman, FL, USA

LIC ID

40568

Current License Expiration Date

30/09/2025

Original Date

16/08/2018

Professional Rank Code

Effective Date

16/08/2018

Board Action Indicator

License Status Description

CLEAR

License Active Status Description

ACTIVE

Country Description

POLK

Mailing Address Line 2

#27

Practice Location Address Line 1

1205 W Vine St

Practice Location Address City

KISSIMMEE

Practice Location Address State

Practice Location Address Zipcode

34741

Mode Code

Certified To Administer Immunizations

Prescribing Indicator

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