KENNETH M NIEBRUGGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102490

License Status

NOT RENEWED

Business

First Name

KENNETH M

Last Name

NIEBRUGGE

Business Name

KENNETH M NIEBRUGGE

Original Issue Date

02/23/1993

Effective Date

02/23/1993

Expiration Date

03/31/1999

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005