BRIAN K DODGE - Pharmacist License in Illinois | # 049094223

BRIAN K DODGE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094223

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005