CRYSTAL DAWN CLEVENGER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135740

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

DAWN

Last Name

CLEVENGER

Business Name

CRYSTAL DAWN CLEVENGER

Original Issue Date

04/09/2001

Effective Date

04/09/2001

Expiration Date

03/31/2003

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/20/2005