DALE SUHRENBROCK Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058957

License Status

CANCELLED

Business

First Name

DALE

Last Name

SUHRENBROCK

Business Name

DALE SUHRENBROCK

Original Issue Date

01/15/1973

Effective Date

01/15/1973

Expiration Date

01/01/1997

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/17/2005