BRIAN E PETRICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103121

License Status

NOT RENEWED

Business

First Name

BRIAN E

Last Name

PETRICK

Business Name

BRIAN E PETRICK

Original Issue Date

04/19/1993

Effective Date

04/19/1993

Expiration Date

03/31/1997

City

DOWNERS GROVE

State

Zip

60516

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005