CHRYSTAL ROSE FAULKNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141598

License Status

NOT RENEWED

Business

First Name

CHRYSTAL

Middle

ROSE

Last Name

FAULKNER

Business Name

CHRYSTAL ROSE FAULKNER

Original Issue Date

03/29/2002

Effective Date

03/29/2002

Expiration Date

03/31/2003

City

JOLIET

State

Zip

60432

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005