KENNETH JAMES BRUNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059683

License Status

NOT RENEWED

Business

First Name

KENNETH JAMES

Last Name

BRUNER

Business Name

KENNETH JAMES BRUNER

Original Issue Date

06/15/1973

Effective Date

06/15/1973

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005