CRYSTAL LEE BOSWORTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159049

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

LEE

Last Name

BOSWORTH

Business Name

CRYSTAL LEE BOSWORTH

Original Issue Date

02/03/2005

Effective Date

02/03/2005

Expiration Date

03/31/2006

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/11/2006