LEONARD RICHARD BUNTZ Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031251

License Status

INACTIVE

Business

First Name

LEONARD RICHARD

Last Name

BUNTZ

Business Name

LEONARD RICHARD BUNTZ

Original Issue Date

11/19/1976

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

CENTRALIA

State

Zip

62801

County

CLINTON

Ever Disciplined

LastModifiedDate

01/10/2008