CRYSTAL A GRACIA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193692

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

Last Name

GRACIA

Business Name

CRYSTAL A GRACIA

Original Issue Date

08/18/2009

Effective Date

08/18/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010