GERALD D NORTHRUP Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051025248

License Status

INACTIVE

Business

First Name

GERALD D

Last Name

NORTHRUP

Business Name

GERALD D NORTHRUP

Original Issue Date

01/01/1997

Expiration Date

03/31/2000

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

12/06/2005