ALIVIA MICHELLE CRUISE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049223454

License Status

NOT RENEWED

Business

First Name

ALIVIA

Middle

MICHELLE

Last Name

CRUISE

Business Name

ALIVIA MICHELLE CRUISE

Original Issue Date

02/18/2014

Effective Date

03/09/2015

Expiration Date

03/31/2016

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/20/2016