KRYSTAL JUNE DOUGLAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175964

License Status

NOT RENEWED

Business

First Name

KRYSTAL

Middle

JUNE

Last Name

DOUGLAS

Business Name

KRYSTAL JUNE DOUGLAS

Original Issue Date

04/30/2007

Effective Date

03/11/2009

Expiration Date

03/31/2010

City

ELDORADO

State

Zip

62930

County

SALINE

Ever Disciplined

LastModifiedDate

05/04/2010