CRYSTALL ANN FORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049266220

License Status

NOT RENEWED

Business

First Name

CRYSTALL

Middle

ANN

Last Name

FORD

Business Name

CRYSTALL ANN FORD

Original Issue Date

06/24/2019

Effective Date

02/20/2020

Expiration Date

03/31/2021

City

ROUND LAKE BEACH

State

Zip

60073

Ever Disciplined

LastModifiedDate

07/20/2021