BRUCE ALLEN CORNISH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155309

License Status

NOT RENEWED

Business

First Name

BRUCE

Middle

ALLEN

Last Name

CORNISH

Business Name

BRUCE ALLEN CORNISH

Original Issue Date

06/17/2004

Effective Date

06/17/2004

Expiration Date

03/31/2005

City

SIOUX FALLS

State

Zip

57103

County

SOUTH DAKOTA

Ever Disciplined

LastModifiedDate

10/20/2005