BRIAN L CLEVENGER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114783

License Status

NOT RENEWED

Business

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

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005