CRYSTAL A KELLY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165625

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

Last Name

KELLY

Business Name

CRYSTAL A KELLY

Original Issue Date

12/14/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

GURNEE

State

Zip

60031

County

LAKE

Ever Disciplined

LastModifiedDate

05/02/2008