TAWANNA RENEE CROCKETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049261328

License Status

NOT RENEWED

Business

First Name

TAWANNA

Middle

RENEE

Last Name

CROCKETT

Business Name

TAWANNA RENEE CROCKETT

Original Issue Date

11/26/2018

Effective Date

02/12/2020

Expiration Date

03/31/2021

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021