CRYSTAL MOCTEZUMA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049234230

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Last Name

MOCTEZUMA

Business Name

CRYSTAL MOCTEZUMA

Original Issue Date

07/03/2015

Effective Date

07/03/2015

Expiration Date

03/31/2016

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/20/2016