MARTHA A RUMBOLD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136884

License Status

NOT RENEWED

Business

First Name

MARTHA

Middle

Last Name

RUMBOLD

Business Name

MARTHA A RUMBOLD

Original Issue Date

06/29/2001

Effective Date

03/14/2012

Expiration Date

03/31/2013

City

DUNLAP

State

Zip

61525

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2013