CRYSTAL S BURCHETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128578

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

Last Name

BURCHETT

Business Name

CRYSTAL S BURCHETT

Original Issue Date

12/14/1999

Effective Date

03/20/2017

Expiration Date

03/31/2018

City

LOAMI

State

Zip

62661

County

SANGAMON

Ever Disciplined

LastModifiedDate

06/19/2018