TERENCE SHANE KRUGER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049186428

License Status

NOT RENEWED

Business

First Name

TERENCE

Middle

SHANE

Last Name

KRUGER

Business Name

TERENCE SHANE KRUGER

Original Issue Date

08/20/2008

Effective Date

08/20/2008

Expiration Date

03/31/2009

City

KENOSHA

State

Zip

53143

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/06/2009