LISA ANN CROUSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108639

License Status

NOT RENEWED

Business

First Name

LISA ANN

Last Name

CROUSE

Business Name

LISA ANN CROUSE

Original Issue Date

10/27/1994

Effective Date

10/27/1994

Expiration Date

03/31/2001

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/21/2005