SALLY JO BRUSKA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128327

License Status

NOT RENEWED

Business

First Name

SALLY

Middle

Last Name

BRUSKA

Business Name

SALLY JO BRUSKA

Original Issue Date

11/23/1999

Effective Date

11/23/1999

Expiration Date

03/31/2005

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005