MUTA ALI CRUSOE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049222899

License Status

NOT RENEWED

Business

First Name

MUTA

Middle

ALI

Last Name

CRUSOE

Business Name

MUTA ALI CRUSOE

Original Issue Date

01/15/2014

Effective Date

01/15/2014

Expiration Date

03/31/2015

City

BELLWOOD

State

Zip

60104

Ever Disciplined

LastModifiedDate

05/11/2015