JACQUETTA NICOLE CRUSOE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049185924

License Status

NOT RENEWED

Business

First Name

JACQUETTA

Middle

NICOLE

Last Name

CRUSOE

Business Name

JACQUETTA NICOLE CRUSOE

Original Issue Date

08/04/2008

Effective Date

08/04/2008

Expiration Date

03/31/2009

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009