FAITH DENISE CRUSOR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140419

License Status

NOT RENEWED

Business

First Name

FAITH

Middle

DENISE

Last Name

CRUSOR

Business Name

FAITH DENISE CRUSOR

Original Issue Date

01/30/2002

Effective Date

01/30/2002

Expiration Date

03/31/2003

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005