BRUCE DAVID EWALD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049052622

License Status

NOT RENEWED

Business

First Name

BRUCE DAVID

Last Name

EWALD

Business Name

BRUCE DAVID EWALD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005