BEVERLY ANN CRAIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062696

License Status

NOT RENEWED

Business

First Name

BEVERLY ANN

Last Name

CRAIN

Business Name

BEVERLY ANN CRAIN

Original Issue Date

12/20/1974

Effective Date

12/20/1974

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005