KELLY SUE CRUZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069882

License Status

NOT RENEWED

Business

First Name

KELLY SUE

Last Name

CRUZ

Business Name

KELLY SUE CRUZ

Original Issue Date

08/07/1978

Effective Date

08/07/1978

Expiration Date

03/31/1982

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005