RUDOLPH R PELLAGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051017457

License Status

NOT RENEWED

Business

First Name

RUDOLPH R

Last Name

PELLAGE

Business Name

RUDOLPH R PELLAGE

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

MUSKEGO

State

Zip

53150

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/17/2005