IVRI NICOLE CROCKETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118708

License Status

NOT RENEWED

Business

First Name

IVRI

Middle

NICOLE

Last Name

CROCKETT

Business Name

IVRI NICOLE CROCKETT

Original Issue Date

08/27/1997

Effective Date

08/27/1997

Expiration Date

03/31/1998

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005