EDWARD R DIPPOLD Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051023608

License Status

INACTIVE

Business

First Name

EDWARD R

Last Name

DIPPOLD

Business Name

EDWARD R DIPPOLD

Original Issue Date

01/01/1997

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

GILLESPIE

State

Zip

62033

County

MACOUPIN

Ever Disciplined

LastModifiedDate

01/05/2010