GEORGE WILLIAM BROUSALIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133401

License Status

NOT RENEWED

Business

First Name

GEORGE

Middle

WILLIAM

Last Name

BROUSALIS

Business Name

GEORGE WILLIAM BROUSALIS

Original Issue Date

10/30/2000

Effective Date

10/30/2000

Expiration Date

03/31/2005

City

ALSIP

State

Zip

60803

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005