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Evenson, Crystal L - Pharmacist

Evenson, Crystal L - (Pharmacist)

Lone Jack, MO 64070
License# : 2005021403 - Issued on : 7/12/2005
Doing Business As :
Licensee Name:Evenson, Crystal L 
Profession Name:Pharmacist 
Licensee Number:2005021403  
Expiration Date:10/31/2016 
Original Issue Date:7/12/2005 
Address: 
Address Con't: 
City, State Zip:Lone Jack, MO 64070 
County:Jackson 
Practitioner DBA Name: 
Classification: 

Current Discipline Status:None

Certification Type:Effective Date:Expiration Date:
NOI - Administration By Protocol8/6/20158/4/2016
NOI - Administration By Medical Prescription Order8/6/20158/4/2016

Board of Pharmacy
3605 Missouri Boulevard
P.O. Box 625
Jefferson City, MO  65102-0625
573.751.0091 Telephone
573.526.3464 Fax
800.735.2966 TTY
800.735.2466 Voice Relay
MissouriBOP@pr.mo.gov
http://pr.mo.gov/pharmacists