NATHAN LEE CARUSO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128056

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

LEE

Last Name

CARUSO

Business Name

NATHAN LEE CARUSO

Original Issue Date

10/28/1999

Effective Date

10/28/1999

Expiration Date

03/31/2001

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005