BRENT BASTIAN - Pharmacist License in Minnesota | # 049218312

BRENT BASTIAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049218312

License Status

NOT RENEWED

Business

N

First Name

BRENT

Last Name

BASTIAN

Prefix

MR

Business Name

BRENT BASTIAN

Original Issue Date

05/30/2013

Effective Date

05/30/2013

Expiration Date

03/31/2014

State

MN

Ever Disciplined

N

LastModifiedDate

05/06/2014