ISABELLA RAE GRUSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049238354

License Status

NOT RENEWED

Business

First Name

ISABELLA

Middle

RAE

Last Name

GRUSE

Business Name

ISABELLA RAE GRUSE

Original Issue Date

12/15/2015

Effective Date

03/17/2016

Expiration Date

03/31/2017

City

MACKINAW

State

Zip

61755

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/10/2017