CRYSTAL FATAMEH ELUSTA - Pharmacist License in Illinois | # 049258835

CRYSTAL FATAMEH ELUSTA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049258835

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022