DAVID A HUBER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155810

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

HUBER

Business Name

DAVID A HUBER

Original Issue Date

06/28/2004

Effective Date

06/28/2004

Expiration Date

03/31/2005

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005