BRENT H BURCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122406

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

Last Name

BURCH

Business Name

BRENT H BURCH

Original Issue Date

08/11/1998

Effective Date

08/11/1998

Expiration Date

03/31/2000

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005