KRYSTLE A DECKARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129436

License Status

NOT RENEWED

Business

First Name

KRYSTLE

Middle

Last Name

DECKARD

Business Name

KRYSTLE A DECKARD

Original Issue Date

02/18/2000

Effective Date

02/02/2010

Expiration Date

03/31/2011

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/12/2011