HARRY S SPONGBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051013335

License Status

NOT RENEWED

Business

First Name

HARRY S

Last Name

SPONGBERG

Business Name

HARRY S SPONGBERG

Original Issue Date

01/01/1997

Expiration Date

01/31/1982

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005