ROSS WAYNE PIEPHO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073323

License Status

NOT RENEWED

Business

First Name

ROSS WAYNE

Last Name

PIEPHO

Business Name

ROSS WAYNE PIEPHO

Original Issue Date

07/18/1980

Effective Date

07/18/1980

Expiration Date

03/31/1988

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005