CRYSTALL L'ENAE BOWEN - Pharmacist License in Illinois | # 049152870

CRYSTALL L'ENAE BOWEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152870

License Status

NOT RENEWED

Business

N

First Name

CRYSTALL

Middle

L'ENAE

Last Name

BOWEN

Business Name

CRYSTALL L'ENAE BOWEN

Original Issue Date

01/15/2004

Effective Date

01/15/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005