LORENE G KUSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067016

License Status

NOT RENEWED

Business

First Name

LORENE G

Last Name

KUSE

Business Name

LORENE G KUSE

Original Issue Date

04/01/1977

Effective Date

01/19/2011

Expiration Date

03/31/2012

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012