BRIAN ANTHONY WYDRA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126944

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

ANTHONY

Last Name

WYDRA

Business Name

BRIAN ANTHONY WYDRA

Original Issue Date

08/11/1999

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

SUGAR GROVE

State

Zip

60554

Ever Disciplined

LastModifiedDate

05/06/2009