BRIAN D CHAMP - Pharmacist License in Iowa | # 049190639

BRIAN D CHAMP

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190639

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

D

Last Name

CHAMP

Business Name

BRIAN D CHAMP

Original Issue Date

04/01/2009

Effective Date

04/01/2009

Expiration Date

03/31/2010

State

IA

Ever Disciplined

N

LastModifiedDate

05/04/2010