MISTY DE LA CRUZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214127

License Status

NOT RENEWED

Business

First Name

MISTY

Last Name

DE LA CRUZ

Business Name

MISTY DE LA CRUZ

Original Issue Date

10/19/2012

Effective Date

03/31/2017

Expiration Date

03/31/2018

City

HAMMOND

State

Zip

46324

County

INDIANA

Ever Disciplined

LastModifiedDate

06/19/2018