ELLEN R KRUSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049089022

License Status

NOT RENEWED

Business

First Name

ELLEN R

Last Name

KRUSE

Business Name

ELLEN R KRUSE

Original Issue Date

02/23/1989

Effective Date

02/23/1989

Expiration Date

03/31/1993

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005