CLARICE E BRUDVIG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051039091

License Status

NOT RENEWED

Business

First Name

CLARICE E

Last Name

BRUDVIG

Business Name

CLARICE E BRUDVIG

Original Issue Date

10/19/1992

Effective Date

10/19/1992

Expiration Date

03/31/1996

City

KNOXVILLE

State

Zip

50138

County

IOWA

Ever Disciplined

LastModifiedDate

10/17/2005