CRYSTAL NICOLE CORBETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150039

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

NICOLE

Last Name

CORBETT

Business Name

CRYSTAL NICOLE CORBETT

Original Issue Date

08/20/2003

Effective Date

08/20/2003

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005