BRENT L SMALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049084560

License Status

NOT RENEWED

Business

First Name

BRENT L

Last Name

SMALL

Business Name

BRENT L SMALL

Original Issue Date

06/06/1987

Effective Date

06/06/1987

Expiration Date

03/31/1990

City

ASSUMPTION

State

Zip

62510

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

10/17/2005