GEORGINA PERALTA CRUZ Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196239

License Status

INACTIVE

Business

First Name

GEORGINA

Middle

PERALTA

Last Name

CRUZ

Business Name

GEORGINA PERALTA CRUZ

Original Issue Date

01/15/2010

Effective Date

03/03/2011

Expiration Date

03/31/2012

City

LAS CRUCES

State

Zip

88011

Ever Disciplined

LastModifiedDate

01/12/2012