BRENT M FITZGERALD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049081166

License Status

NOT RENEWED

Business

First Name

BRENT M

Last Name

FITZGERALD

Business Name

BRENT M FITZGERALD

Original Issue Date

06/17/1985

Effective Date

06/17/1985

Expiration Date

03/31/1990

City

WEST FRANKFORT

State

Zip

62896

County

FRANKLIN

Ever Disciplined

LastModifiedDate

10/17/2005