BRENTON T RUDER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255159

License Status

NOT RENEWED

Business

First Name

BRENTON

Middle

Last Name

RUDER

Business Name

BRENTON T RUDER

Original Issue Date

12/22/2017

Effective Date

03/05/2022

Expiration Date

03/31/2023

City

DYER

State

Zip

46311

County

LAKE

Ever Disciplined

LastModifiedDate

09/07/2023