DENISE M KRUZAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120035

License Status

NOT RENEWED

Business

First Name

DENISE

Middle

Last Name

KRUZAN

Business Name

DENISE M KRUZAN

Original Issue Date

02/06/1998

Effective Date

03/01/2017

Expiration Date

03/31/2018

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

06/19/2018