BRENT ANDREW HARSEIM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100176

License Status

NOT RENEWED

Business

First Name

BRENT ANDREW

Last Name

HARSEIM

Business Name

BRENT ANDREW HARSEIM

Original Issue Date

05/20/1992

Effective Date

05/20/1992

Expiration Date

03/31/1993

City

FISHER

State

Zip

61843

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005