BRENT FREDERICK KNOUSE - Pharmacist License in Illinois | # 049058569

BRENT FREDERICK KNOUSE

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058569

License Status

CANCELLED

Business

N

First Name

BRENT FREDERICK

Last Name

KNOUSE

Business Name

BRENT FREDERICK KNOUSE

Original Issue Date

10/21/1972

Effective Date

10/21/1972

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005