SHIRLEY A CRISCO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097014

License Status

NOT RENEWED

Business

First Name

SHIRLEY A

Last Name

CRISCO

Business Name

SHIRLEY A CRISCO

Original Issue Date

05/30/1991

Effective Date

05/30/1991

Expiration Date

03/31/1997

City

GALVA

State

Zip

61434

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005