CRYSTAL D ROSA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049207209

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

Last Name

ROSA

Business Name

CRYSTAL D ROSA

Original Issue Date

10/11/2011

Effective Date

03/28/2013

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014