CRYSTAL A SIMON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159029

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

Last Name

SIMON

Business Name

CRYSTAL A SIMON

Original Issue Date

02/02/2005

Effective Date

02/02/2005

Expiration Date

03/31/2006

City

HAZEL CREST

State

Zip

60429

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006