RUDY L MACK Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064336

License Status

CANCELLED

Business

First Name

RUDY L

Last Name

MACK

Business Name

RUDY L MACK

Original Issue Date

10/10/1975

Effective Date

10/10/1975

Expiration Date

01/01/1997

City

EAST ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005