CORY LEN CRANDALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131821

License Status

NOT RENEWED

Business

First Name

CORY

Middle

LEN

Last Name

CRANDALL

Business Name

CORY LEN CRANDALL

Original Issue Date

07/27/2000

Effective Date

01/29/2019

Expiration Date

09/30/2020

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

01/08/2021