BRIAN D SURROZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095890

License Status

NOT RENEWED

Business

First Name

BRIAN D

Last Name

SURROZ

Business Name

BRIAN D SURROZ

Original Issue Date

02/22/1991

Effective Date

02/22/1991

Expiration Date

03/31/2000

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/21/2005