CLARICE E BRUDVIG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100554

License Status

NOT RENEWED

Business

First Name

CLARICE E

Last Name

BRUDVIG

Business Name

CLARICE E BRUDVIG

Original Issue Date

06/27/1992

Effective Date

06/27/1992

Expiration Date

03/31/1993

City

LAKE MILLS

State

Zip

50450

County

IOWA

Ever Disciplined

LastModifiedDate

10/17/2005