BRENT FREDERICK KNOUSE Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058569

License Status

CANCELLED

Business

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

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005