AEYSHIA R CROCKETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049237464

License Status

NOT RENEWED

Business

First Name

AEYSHIA

Middle

Last Name

CROCKETT

Business Name

AEYSHIA R CROCKETT

Original Issue Date

11/05/2015

Effective Date

03/04/2016

Expiration Date

03/31/2017

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/10/2017