MARY ROBERTA BRUHA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131563

License Status

NOT RENEWED

Business

First Name

MARY

Middle

ROBERTA

Last Name

BRUHA

Business Name

MARY ROBERTA BRUHA

Original Issue Date

07/12/2000

Effective Date

07/12/2000

Expiration Date

03/31/2001

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005