HERMAN A TEBRUGGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051023076

License Status

NOT RENEWED

Business

First Name

HERMAN A

Last Name

TEBRUGGE

Business Name

HERMAN A TEBRUGGE

Original Issue Date

01/01/1997

Expiration Date

03/31/1992

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005