PETER D MENKE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051022857

License Status

INACTIVE

Business

First Name

PETER D

Last Name

MENKE

Business Name

PETER D MENKE

Original Issue Date

01/01/1997

Expiration Date

03/31/2004

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

12/06/2005