BRIAN ALLEN WADE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123368

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

ALLEN

Last Name

WADE

Business Name

BRIAN ALLEN WADE

Original Issue Date

10/22/1998

Effective Date

10/22/1998

Expiration Date

03/31/2001

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005