BRENT D STICE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134914

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

Last Name

STICE

Business Name

BRENT D STICE

Original Issue Date

03/02/2001

Effective Date

06/01/2021

Expiration Date

05/31/2022

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/27/2022