CRYSTAL ROSE HASKINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130431

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

ROSE

Last Name

HASKINS

Business Name

CRYSTAL ROSE HASKINS

Original Issue Date

04/07/2000

Effective Date

04/07/2000

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60655

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005