CRYSTAL JANE ANN ANDERS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201196

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

JANE ANN

Last Name

ANDERS

Business Name

CRYSTAL JANE ANN ANDERS

Original Issue Date

10/22/2010

Effective Date

03/15/2011

Expiration Date

03/31/2012

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/07/2012