BRIAN D CHAMP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190639

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

CHAMP

Business Name

BRIAN D CHAMP

Original Issue Date

04/01/2009

Effective Date

04/01/2009

Expiration Date

03/31/2010

City

DAVENPORT

State

Zip

52804

County

IOWA

Ever Disciplined

LastModifiedDate

05/04/2010