ASHLEY KRYSTAL MOUTRAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181416

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

KRYSTAL

Last Name

MOUTRAY

Business Name

ASHLEY KRYSTAL MOUTRAY

Original Issue Date

01/07/2008

Effective Date

03/21/2019

Expiration Date

09/30/2020

City

LOSTANT

State

Zip

61334

County

LA SALLE

Ever Disciplined

LastModifiedDate

01/08/2021