MICHAEL WAYNE CRUNK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177490

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

WAYNE

Last Name

CRUNK

Business Name

MICHAEL WAYNE CRUNK

Original Issue Date

07/02/2007

Effective Date

02/22/2010

Expiration Date

03/31/2011

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

05/12/2011