AGNES M LERUEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209314

License Status

NOT RENEWED

Business

First Name

AGNES

Middle

Last Name

LERUEZ

Business Name

AGNES M LERUEZ

Original Issue Date

02/22/2012

Effective Date

02/22/2012

Expiration Date

03/31/2013

City

MILLSTADT

State

Zip

62260

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/06/2013