DOROTHY L CROCKETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098065

License Status

NOT RENEWED

Business

First Name

DOROTHY L

Last Name

CROCKETT

Business Name

DOROTHY L CROCKETT

Original Issue Date

09/18/1991

Effective Date

09/18/1991

Expiration Date

03/31/1993

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005