CRYSTAL R MEZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158284

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

Last Name

MEZA

Business Name

CRYSTAL R MEZA

Original Issue Date

12/10/2004

Effective Date

12/10/2004

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60647

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006