TRAVIS A CRIPPS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148404

License Status

NOT RENEWED

Business

First Name

TRAVIS

Middle

Last Name

CRIPPS

Business Name

TRAVIS A CRIPPS

Original Issue Date

04/30/2003

Effective Date

01/29/2010

Expiration Date

03/31/2011

City

IUKA

State

Zip

62849

County

MARION

Ever Disciplined

LastModifiedDate

05/12/2011