BRUCE R BOCKENSTEDT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113915

License Status

NOT RENEWED

Business

First Name

BRUCE R

Last Name

BOCKENSTEDT

Business Name

BRUCE R BOCKENSTEDT

Original Issue Date

04/04/1996

Effective Date

04/04/1996

Expiration Date

03/31/1997

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Ever Disciplined

LastModifiedDate

10/17/2005