RUDOLPH P CROUCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029467

License Status

NOT RENEWED

Business

First Name

RUDOLPH P

Last Name

CROUCH

Business Name

RUDOLPH P CROUCH

Original Issue Date

03/07/1973

Effective Date

03/07/1973

Expiration Date

03/31/1996

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005