LYNN A KRUSEMARK Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061566

License Status

CANCELLED

Business

First Name

LYNN A

Last Name

KRUSEMARK

Business Name

LYNN A KRUSEMARK

Original Issue Date

05/29/1974

Effective Date

05/29/1974

Expiration Date

01/01/1997

City

EMDEN

State

Zip

62635

County

LOGAN

Ever Disciplined

LastModifiedDate

10/17/2005