WILLIAM IRA CRISP II Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161949

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

IRA

Last Name

CRISP

Suffix

Business Name

WILLIAM IRA CRISP II

Original Issue Date

06/27/2005

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2009