TERRY KRUCKENBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060455

License Status

NOT RENEWED

Business

First Name

TERRY

Last Name

KRUCKENBERG

Business Name

TERRY KRUCKENBERG

Original Issue Date

10/15/1973

Effective Date

10/15/1973

Expiration Date

01/01/1997

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/17/2005