GAYLORD RICHARD QUAYLE Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051030569

License Status

INACTIVE

Business

First Name

GAYLORD RICHARD

Last Name

QUAYLE

Business Name

GAYLORD RICHARD QUAYLE

Original Issue Date

07/25/1975

Effective Date

02/13/2018

Expiration Date

09/30/2020

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

01/04/2020

Case Number

1987002309

Action

Probation

Discipline Start Date

05/26/1989

Discipline End Date

05/26/1990