SAMUEL N CHRUSCIEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199542

License Status

NOT RENEWED

Business

First Name

SAMUEL

Middle

Last Name

CHRUSCIEL

Business Name

SAMUEL N CHRUSCIEL

Original Issue Date

07/21/2010

Effective Date

02/03/2014

Expiration Date

03/31/2015

City

PORTAGE

State

Zip

49024

County

MICHIGAN

Ever Disciplined

LastModifiedDate

05/11/2015