GARY STEVEN PRUDOT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049273027

License Status

NOT RENEWED

Business

First Name

GARY

Middle

STEVEN

Last Name

PRUDOT

Business Name

GARY STEVEN PRUDOT

Original Issue Date

04/30/2020

Effective Date

04/30/2020

Expiration Date

03/31/2021

City

WATERLOO

State

Zip

62298

County

MONROE

Ever Disciplined

LastModifiedDate

07/20/2021