SANDRA CRILLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070680

License Status

NOT RENEWED

Business

First Name

SANDRA

Last Name

CRILLY

Business Name

SANDRA CRILLY

Original Issue Date

02/16/1979

Effective Date

03/30/2012

Expiration Date

03/31/2013

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2013