HAROLD E PENN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100018

License Status

NOT RENEWED

Business

First Name

HAROLD E

Last Name

PENN

Business Name

HAROLD E PENN

Original Issue Date

05/02/1992

Effective Date

05/02/1992

Expiration Date

03/31/1996

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005