BRENT L SMALL - Pharmacist License in Illinois | # 049084560

BRENT L SMALL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049084560

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005