AMY D CROSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091628

License Status

NOT RENEWED

Business

First Name

AMY D

Last Name

CROSE

Business Name

AMY D CROSE

Original Issue Date

11/15/1989

Effective Date

11/15/1989

Expiration Date

03/31/2004

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005