DENNIS M FRUIN Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058560

License Status

CANCELLED

Business

First Name

DENNIS M

Last Name

FRUIN

Business Name

DENNIS M FRUIN

Original Issue Date

10/21/1972

Effective Date

10/21/1972

Expiration Date

01/01/1997

City

GILMAN

State

Zip

60938

County

IROQUOIS

Ever Disciplined

LastModifiedDate

10/17/2005