BRENTON DOUGLAS WHITE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129706

License Status

NOT RENEWED

Business

First Name

BRENTON

Middle

DOUGLAS

Last Name

WHITE

Business Name

BRENTON DOUGLAS WHITE

Original Issue Date

03/03/2000

Effective Date

03/03/2000

Expiration Date

03/31/2002

City

BEACH PARK

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

12/06/2005