CRYSTAL R SHAW Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136390

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

Last Name

SHAW

Business Name

CRYSTAL R SHAW

Original Issue Date

05/22/2001

Effective Date

05/22/2001

Expiration Date

03/31/2004

City

CORDOVA

State

Zip

38018

County

TENNESSEE

Ever Disciplined

LastModifiedDate

10/20/2005