GEORGE SUPRUNOWSKI JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051012200

License Status

NOT RENEWED

Business

First Name

GEORGE

Last Name

SUPRUNOWSKI JR

Business Name

GEORGE SUPRUNOWSKI JR

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

EAST ST LOUIS

State

Zip

62203

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005