DAVID G MASENGARB Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049052300

License Status

NOT RENEWED

Business

First Name

DAVID G

Last Name

MASENGARB

Business Name

DAVID G MASENGARB

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005