TRUDY NICOLE HAMBURG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049253672

License Status

NOT RENEWED

Business

First Name

TRUDY

Middle

NICOLE

Last Name

HAMBURG

Business Name

TRUDY NICOLE HAMBURG

Original Issue Date

10/11/2017

Effective Date

02/13/2018

Expiration Date

03/31/2019

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

07/15/2019