STANLEY EDWIN KRUSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049083478

License Status

NOT RENEWED

Business

First Name

STANLEY EDWIN

Last Name

KRUSE

Business Name

STANLEY EDWIN KRUSE

Original Issue Date

10/29/1986

Effective Date

10/29/1986

Expiration Date

03/31/1988

City

PEORIA

State

Zip

61607

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005