RICHARD E BUSJAHN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254430

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

BUSJAHN

Business Name

RICHARD E BUSJAHN

Original Issue Date

11/29/2017

Effective Date

11/29/2017

Expiration Date

03/31/2018

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/19/2018