CRYSTALL L'ENAE BOWEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152870

License Status

NOT RENEWED

Business

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

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/20/2005