LAURA SUSANNE CRISPIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049267824

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

SUSANNE

Last Name

CRISPIN

Business Name

LAURA SUSANNE CRISPIN

Original Issue Date

09/11/2019

Effective Date

09/11/2019

Expiration Date

09/30/2020

City

DAVENPORT

State

Zip

52804

County

SCOTT

Ever Disciplined

LastModifiedDate

01/08/2021