SALLY RUDOLPH Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051025681

License Status

INACTIVE

Business

First Name

SALLY

Last Name

RUDOLPH

Business Name

SALLY RUDOLPH

Original Issue Date

01/01/1997

Expiration Date

03/31/2006

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/18/2006