ASHLEY B PRUSAKOV Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199109

License Status

NOT RENEWED

Business

First Name

ASHLEY

Middle

Last Name

PRUSAKOV

Business Name

ASHLEY B PRUSAKOV

Original Issue Date

06/25/2010

Effective Date

01/22/2014

Expiration Date

03/31/2015

City

DENVER

State

Zip

80238

Ever Disciplined

LastModifiedDate

05/11/2015