LAURA KATHLYN RUDOLPH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153738

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

KATHLYN

Last Name

RUDOLPH

Business Name

LAURA KATHLYN RUDOLPH

Original Issue Date

03/16/2004

Effective Date

03/16/2004

Expiration Date

03/31/2005

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/20/2005