ELLEN CAROL CROCKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036036

License Status

NOT RENEWED

Business

First Name

ELLEN CAROL

Last Name

CROCKER

Business Name

ELLEN CAROL CROCKER

Original Issue Date

12/09/1985

Effective Date

03/31/2016

Expiration Date

03/31/2018

City

FAIRVIEW

State

Zip

97024

County

OREGON

Ever Disciplined

LastModifiedDate

06/19/2018