KELLEY S CRUZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049083905

License Status

NOT RENEWED

Business

First Name

KELLEY S

Last Name

CRUZ

Business Name

KELLEY S CRUZ

Original Issue Date

03/18/1987

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

07/20/2021