CAROLYN M CROCKETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094512

License Status

NOT RENEWED

Business

First Name

CAROLYN M

Last Name

CROCKETT

Business Name

CAROLYN M CROCKETT

Original Issue Date

09/21/1990

Effective Date

09/21/1990

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60624

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005