GEORGINA PERALTA CRUZ - Pharmacist License in New Mexico | # 049196239

GEORGINA PERALTA CRUZ

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196239

License Status

INACTIVE

Business

N

First Name

GEORGINA

Middle

PERALTA

Last Name

CRUZ

Business Name

GEORGINA PERALTA CRUZ

Original Issue Date

01/15/2010

Effective Date

03/03/2011

Expiration Date

03/31/2012

State

NM

Ever Disciplined

N

LastModifiedDate

01/12/2012