CHRYSTAL J MATHIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154499

License Status

NOT RENEWED

Business

First Name

CHRYSTAL

Middle

Last Name

MATHIS

Business Name

CHRYSTAL J MATHIS

Original Issue Date

05/21/2004

Effective Date

05/28/2015

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016