JACK A BROWN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131220

License Status

NOT RENEWED

Business

First Name

JACK

Middle

Last Name

BROWN

Business Name

JACK A BROWN

Original Issue Date

06/16/2000

Effective Date

06/16/2000

Expiration Date

03/31/2003

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005