KRYSTAL MARY CRUZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049261487

License Status

NOT RENEWED

Business

First Name

KRYSTAL

Middle

MARY

Last Name

CRUZ

Business Name

KRYSTAL MARY CRUZ

Original Issue Date

11/28/2018

Effective Date

03/19/2019

Expiration Date

09/30/2020

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/08/2021