ANNJENICA M CRUZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202111

License Status

NOT RENEWED

Business

First Name

ANNJENICA

Middle

Last Name

CRUZ

Business Name

ANNJENICA M CRUZ

Original Issue Date

01/03/2011

Effective Date

01/03/2011

Expiration Date

03/31/2012

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

05/07/2012