BRIAN EARL SHIPP - Pharmacist License in Illinois | # 049135836

BRIAN EARL SHIPP

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135836

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

EARL

Last Name

SHIPP

Business Name

BRIAN EARL SHIPP

Original Issue Date

04/12/2001

Effective Date

04/12/2001

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005