LORETTA A KRUZAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098842

License Status

NOT RENEWED

Business

First Name

LORETTA A

Last Name

KRUZAN

Business Name

LORETTA A KRUZAN

Original Issue Date

12/05/1991

Effective Date

12/05/1991

Expiration Date

03/31/1994

City

HAMEL

State

Zip

62046

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005