RUDOLPH VICTOR DEISS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049177290

License Status

NOT RENEWED

Business

First Name

RUDOLPH

Middle

VICTOR

Last Name

DEISS

Business Name

RUDOLPH VICTOR DEISS

Original Issue Date

06/25/2007

Effective Date

06/25/2007

Expiration Date

03/31/2008

City

NEW HOLLAND

State

Zip

62671

County

LOGAN

Ever Disciplined

LastModifiedDate

05/02/2008