VIRGINIA L CROCKETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049055019

License Status

NOT RENEWED

Business

First Name

VIRGINIA L

Last Name

CROCKETT

Business Name

VIRGINIA L CROCKETT

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005