CRYSTAL HOLLOWAY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049259904

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Last Name

HOLLOWAY

Business Name

CRYSTAL HOLLOWAY

Original Issue Date

09/19/2018

Effective Date

04/03/2019

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/08/2021