ANNE M MODRUSIC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049078032

License Status

NOT RENEWED

Business

First Name

ANNE M

Last Name

MODRUSIC

Business Name

ANNE M MODRUSIC

Original Issue Date

03/24/1983

Effective Date

03/24/1983

Expiration Date

03/31/1984

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005