MARLO GENE PRUGH DDS Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051026369

License Status

INACTIVE

Business

First Name

MARLO GENE

Last Name

PRUGH

Suffix

DDS

Business Name

MARLO GENE PRUGH DDS

Original Issue Date

01/01/1997

Expiration Date

03/31/1994

City

CASPER

State

Zip

82609

County

WYOMING

Ever Disciplined

LastModifiedDate

10/17/2005