BRIAN K DODGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094223

License Status

NOT RENEWED

Business

First Name

BRIAN K

Last Name

DODGE

Business Name

BRIAN K DODGE

Original Issue Date

08/29/1990

Effective Date

08/29/1990

Expiration Date

03/31/1996

City

ELMWOOD PARK

State

Zip

60635

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005