MALAYIA LATRICE CRAWFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135963

License Status

NOT RENEWED

Business

First Name

MALAYIA

Middle

LATRICE

Last Name

CRAWFORD

Business Name

MALAYIA LATRICE CRAWFORD

Original Issue Date

04/19/2001

Effective Date

01/24/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013