TIFFANY R CRAWFORD Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196066

License Status

INACTIVE

Business

First Name

TIFFANY

Middle

Last Name

CRAWFORD

Business Name

TIFFANY R CRAWFORD

Original Issue Date

01/05/2010

Effective Date

02/16/2011

Expiration Date

03/31/2012

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

01/12/2012