BRENT S BROIHAHN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049083204

License Status

NOT RENEWED

Business

First Name

BRENT S

Last Name

BROIHAHN

Business Name

BRENT S BROIHAHN

Original Issue Date

08/21/1986

Effective Date

08/21/1986

Expiration Date

03/31/1994

City

MCHENRY

State

Zip

60050

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/17/2005