LESLEY RAE KRUSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142550

License Status

NOT RENEWED

Business

First Name

LESLEY

Middle

RAE

Last Name

KRUSE

Business Name

LESLEY RAE KRUSE

Original Issue Date

05/22/2002

Effective Date

03/03/2009

Expiration Date

03/31/2010

City

GIRARD

State

Zip

62640

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/04/2010