DAVID ROBBERSTAD Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073413

License Status

CANCELLED

Business

First Name

DAVID

Last Name

ROBBERSTAD

Business Name

DAVID ROBBERSTAD

Original Issue Date

08/01/1980

Effective Date

08/01/1980

Expiration Date

01/01/1997

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005