BRIAN L CLEVENGER - Pharmacist License in Illinois | # 049114783

BRIAN L CLEVENGER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114783

License Status

NOT RENEWED

Business

N

First Name

BRIAN L

Last Name

CLEVENGER

Business Name

BRIAN L CLEVENGER

Original Issue Date

08/01/1996

Effective Date

08/01/1996

Expiration Date

03/31/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005