RICHARD L ENGEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030202

License Status

NOT RENEWED

Business

First Name

RICHARD L

Last Name

ENGEN

Business Name

RICHARD L ENGEN

Original Issue Date

09/16/1974

Effective Date

09/16/1974

Expiration Date

03/31/1994

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005