CRYSTAL R SHAW - Pharmacist License in Tennessee | # 049136390

CRYSTAL R SHAW

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136390

License Status

NOT RENEWED

Business

N

First Name

CRYSTAL

Middle

R

Last Name

SHAW

Business Name

CRYSTAL R SHAW

Original Issue Date

05/22/2001

Effective Date

05/22/2001

Expiration Date

03/31/2004

State

TN

Ever Disciplined

N

LastModifiedDate

10/20/2005