JEAN A CROUSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062994

License Status

NOT RENEWED

Business

First Name

JEAN A

Last Name

CROUSE

Business Name

JEAN A CROUSE

Original Issue Date

02/21/1975

Effective Date

02/21/1975

Expiration Date

01/01/1997

City

VILLA GROVE

State

Zip

61956

County

DOUGLAS

Ever Disciplined

LastModifiedDate

10/17/2005