JEFFERSON S GALE CRUZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154472

License Status

NOT RENEWED

Business

First Name

JEFFERSON

Middle

Last Name

GALE CRUZ

Business Name

JEFFERSON S GALE CRUZ

Original Issue Date

05/21/2004

Effective Date

05/21/2004

Expiration Date

03/31/2005

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005