KRYSTAL ELAINE NORMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157410

License Status

NOT RENEWED

Business

First Name

KRYSTAL

Middle

ELAINE

Last Name

NORMAN

Business Name

KRYSTAL ELAINE NORMAN

Original Issue Date

10/12/2004

Effective Date

10/12/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60653

Ever Disciplined

LastModifiedDate

10/20/2005