TANNER WESLEY CRAWFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049246314

License Status

NOT RENEWED

Business

First Name

TANNER

Middle

WESLEY

Last Name

CRAWFORD

Business Name

TANNER WESLEY CRAWFORD

Original Issue Date

11/15/2016

Effective Date

11/15/2016

Expiration Date

03/31/2017

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/10/2017