BREESA M CROUSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168993

License Status

NOT RENEWED

Business

First Name

BREESA

Middle

Last Name

CROUSE

Business Name

BREESA M CROUSE

Original Issue Date

05/30/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/02/2008