CRYSTAL NICHOLE CARPENTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125984

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

NICHOLE

Last Name

CARPENTER

Business Name

CRYSTAL NICHOLE CARPENTER

Original Issue Date

05/20/1999

Effective Date

05/20/1999

Expiration Date

03/31/2001

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005