BRIAN ETHAN YATES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123040

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

ETHAN

Last Name

YATES

Business Name

BRIAN ETHAN YATES

Original Issue Date

10/01/1998

Effective Date

10/01/1998

Expiration Date

03/31/2001

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/21/2005