ANNA OLEGOVNA KHRUSTALEVA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185530

License Status

NOT RENEWED

Business

First Name

ANNA

Middle

OLEGOVNA

Last Name

KHRUSTALEVA

Business Name

ANNA OLEGOVNA KHRUSTALEVA

Original Issue Date

07/14/2008

Effective Date

07/14/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60707

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009