ADAM G DE BRUIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051037489

License Status

NOT RENEWED

Business

First Name

ADAM G

Last Name

DE BRUIN

Business Name

ADAM G DE BRUIN

Original Issue Date

09/02/1989

Effective Date

01/14/2020

Expiration Date

07/31/2022

City

APPLETON

State

Zip

54914

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/14/2022