BRIAN C MANN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122923

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

MANN

Business Name

BRIAN C MANN

Original Issue Date

09/25/1998

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

OFALLON

State

Zip

62269

Ever Disciplined

LastModifiedDate

05/14/2007