BRUCE DAVID EWALD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051028743

License Status

NOT RENEWED

Business

First Name

BRUCE DAVID

Last Name

EWALD

Business Name

BRUCE DAVID EWALD

Original Issue Date

01/01/1997

Effective Date

06/02/2016

Expiration Date

03/31/2018

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/19/2018