BRUCE RAY SIECKER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051026944

License Status

INACTIVE

Business

First Name

BRUCE

Middle

RAY

Last Name

SIECKER

Business Name

BRUCE RAY SIECKER

Original Issue Date

07/21/1966

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

STONE RIDGE

State

Zip

20105

Ever Disciplined

LastModifiedDate

10/05/2010