JACOB A CRAWFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193512

License Status

NOT RENEWED

Business

First Name

JACOB

Middle

Last Name

CRAWFORD

Prefix

Business Name

JACOB A CRAWFORD

Original Issue Date

08/07/2009

Effective Date

01/19/2011

Expiration Date

03/31/2012

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/07/2012