BRYAN J TRENHOLM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065695

License Status

NOT RENEWED

Business

First Name

BRYAN J

Last Name

TRENHOLM

Business Name

BRYAN J TRENHOLM

Original Issue Date

07/02/1976

Effective Date

07/02/1976

Expiration Date

01/01/1997

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005