THOR T ENGWALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051018402

License Status

NOT RENEWED

Business

First Name

THOR T

Last Name

ENGWALL

Business Name

THOR T ENGWALL

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

SALEM

State

Zip

97301

County

OREGON

Ever Disciplined

LastModifiedDate

10/17/2005