POLLY ELLEN CRAWFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069241

License Status

NOT RENEWED

Business

First Name

POLLY ELLEN

Last Name

CRAWFORD

Business Name

POLLY ELLEN CRAWFORD

Original Issue Date

04/28/1978

Effective Date

04/28/1978

Expiration Date

01/01/1997

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005