BRIAN LAMAR CRUSOE - Pharmacist License in Illinois | # 049222898

BRIAN LAMAR CRUSOE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049222898

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

LAMAR

Last Name

CRUSOE

Business Name

BRIAN LAMAR CRUSOE

Original Issue Date

01/15/2014

Effective Date

01/15/2014

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015