BRENT H BURCH - Pharmacist License in Illinois | # 049122406

BRENT H BURCH

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122406

License Status

NOT RENEWED

Business

N

First Name

BRENT

Middle

H

Last Name

BURCH

Business Name

BRENT H BURCH

Original Issue Date

08/11/1998

Effective Date

08/11/1998

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005