BRETT B BORK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101738

License Status

NOT RENEWED

Business

First Name

BRETT B

Last Name

BORK

Business Name

BRETT B BORK

Original Issue Date

11/18/1992

Effective Date

11/18/1992

Expiration Date

03/31/1994

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005