CRYSTAL DIANNA PLAIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181738

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

DIANNA

Last Name

PLAIN

Business Name

CRYSTAL DIANNA PLAIN

Original Issue Date

01/25/2008

Effective Date

01/25/2008

Expiration Date

03/31/2009

City

EDWARDS

State

Zip

61528

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2009