TYLER R NIEBRUGGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184814

License Status

NOT RENEWED

Business

First Name

TYLER

Middle

Last Name

NIEBRUGGE

Business Name

TYLER R NIEBRUGGE

Original Issue Date

06/10/2008

Effective Date

06/10/2008

Expiration Date

03/31/2009

City

MASON

State

Zip

62443

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

05/06/2009