MICHAEL WADE CRENSHAW - Pharmacist License in Illinois | # 049176065

MICHAEL WADE CRENSHAW

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176065

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010