TRACYE MICHELLE CREVISTON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107795

License Status

NOT RENEWED

Business

First Name

TRACYE MICHELLE

Last Name

CREVISTON

Business Name

TRACYE MICHELLE CREVISTON

Original Issue Date

08/11/1994

Effective Date

08/11/1994

Expiration Date

03/31/2000

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005