WILLIE FRANK CROCKETT JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063366

License Status

NOT RENEWED

Business

First Name

WILLIE FRANK

Last Name

CROCKETT JR

Business Name

WILLIE FRANK CROCKETT JR

Original Issue Date

05/02/1975

Effective Date

04/06/2017

Expiration Date

03/31/2018

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018