BRIAN D BEAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130107

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

BEAL

Business Name

BRIAN D BEAL

Original Issue Date

03/21/2000

Effective Date

03/21/2000

Expiration Date

03/31/2003

City

MOUNT CARMEL

State

Zip

62863

County

EDWARDS

Ever Disciplined

LastModifiedDate

10/20/2005