ROBERT JOHN WOLLENBURG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139946

License Status

NOT RENEWED

Business

First Name

ROBERT

Middle

JOHN

Last Name

WOLLENBURG

Business Name

ROBERT JOHN WOLLENBURG

Original Issue Date

01/14/2002

Effective Date

01/14/2002

Expiration Date

03/31/2003

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/20/2005