BRENDA SUE CROUSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049222246

License Status

NOT RENEWED

Business

First Name

BRENDA

Middle

SUE

Last Name

CROUSE

Business Name

BRENDA SUE CROUSE

Original Issue Date

11/27/2013

Effective Date

02/01/2015

Expiration Date

03/31/2016

City

IPAVA

State

Zip

61441

County

FULTON

Ever Disciplined

LastModifiedDate

05/20/2016