CRYSTAL H CHANG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153829

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

Last Name

CHANG

Business Name

CRYSTAL H CHANG

Original Issue Date

03/22/2004

Effective Date

01/25/2006

Expiration Date

03/31/2007

City

BENTONVILLE

State

Zip

72712

County

INDIANA

Ever Disciplined

LastModifiedDate

05/14/2007