BRUCE A FUITEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049079594

License Status

NOT RENEWED

Business

First Name

BRUCE A

Last Name

FUITEN

Business Name

BRUCE A FUITEN

Original Issue Date

03/13/1984

Effective Date

08/06/2013

Expiration Date

03/31/2014

City

VIRDEN

State

Zip

62690

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/06/2014