CRYSTAL M EICKHORST-AMES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149892

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

Last Name

EICKHORST-AMES

Business Name

CRYSTAL M EICKHORST-AMES

Original Issue Date

08/19/2003

Effective Date

08/19/2003

Expiration Date

03/31/2004

City

SPRINGFIELD

State

Zip

97477

County

OREGON

Ever Disciplined

LastModifiedDate

10/20/2005