ALEX GLOUDEMANS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191678

License Status

NOT RENEWED

Business

First Name

ALEX

Last Name

GLOUDEMANS

Prefix

Business Name

ALEX GLOUDEMANS

Original Issue Date

05/14/2009

Effective Date

03/01/2012

Expiration Date

03/31/2013

City

KAUKAUNA

State

Zip

54130

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/06/2013