RICHARD W HOOTMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063264

License Status

NOT RENEWED

Business

First Name

RICHARD W

Last Name

HOOTMAN

Business Name

RICHARD W HOOTMAN

Original Issue Date

04/11/1975

Effective Date

04/11/1975

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005