LOREN W CRASK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165377

License Status

NOT RENEWED

Business

First Name

LOREN

Middle

Last Name

CRASK

Business Name

LOREN W CRASK

Original Issue Date

12/05/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Ever Disciplined

LastModifiedDate

05/14/2007