CRYSTAL FATAMEH ELUSTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049258835

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

FATAMEH

Last Name

ELUSTA

Business Name

CRYSTAL FATAMEH ELUSTA

Original Issue Date

07/16/2018

Effective Date

02/05/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022