DAVID WAYNE PARLBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149616

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

WAYNE

Last Name

PARLBERG

Business Name

DAVID WAYNE PARLBERG

Original Issue Date

07/25/2003

Effective Date

07/25/2003

Expiration Date

03/31/2005

City

CRYSTAL LAKE

State

Zip

60014

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/20/2005