ERHARD RUSZCZAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029656

License Status

NOT RENEWED

Business

First Name

ERHARD

Last Name

RUSZCZAK

Business Name

ERHARD RUSZCZAK

Original Issue Date

07/27/1973

Effective Date

03/23/2010

Expiration Date

03/31/2012

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012