CRYSTAL FANNING Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049230757

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Last Name

FANNING

Prefix

Business Name

CRYSTAL FANNING

Original Issue Date

01/24/2015

Effective Date

02/08/2021

Expiration Date

05/31/2022

City

JACKSONVILLE

State

Zip

62650

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/27/2022