KRYSTLE K HAZLEWOOD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200024

License Status

NOT RENEWED

Business

First Name

KRYSTLE

Middle

Last Name

HAZLEWOOD

Business Name

KRYSTLE K HAZLEWOOD

Original Issue Date

08/20/2010

Effective Date

03/10/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012