BRIAN D MASKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099408

License Status

NOT RENEWED

Business

First Name

BRIAN D

Last Name

MASKE

Business Name

BRIAN D MASKE

Original Issue Date

02/14/1992

Effective Date

02/14/1992

Expiration Date

03/31/1995

City

VANDALIA

State

Zip

62471

County

FAYETTE

Ever Disciplined

LastModifiedDate

10/17/2005