MICHAEL WADE CRENSHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176065

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

WADE

Last Name

CRENSHAW

Business Name

MICHAEL WADE CRENSHAW

Original Issue Date

05/02/2007

Effective Date

03/31/2009

Expiration Date

03/31/2010

City

FOX RIVER GROVE

State

Zip

60021

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/04/2010