ICY BRYANT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065260

License Status

NOT RENEWED

Business

First Name

ICY

Last Name

BRYANT

Business Name

ICY BRYANT

Original Issue Date

04/30/1976

Effective Date

02/10/2015

Expiration Date

03/31/2016

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/20/2016