BRIAN W OVER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107183

License Status

NOT RENEWED

Business

First Name

BRIAN W

Last Name

OVER

Business Name

BRIAN W OVER

Original Issue Date

06/13/1994

Effective Date

06/13/1994

Expiration Date

03/31/1995

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005