BRIAN A WEISBAUM - Pharmacist License in Illinois | # 049138547

BRIAN A WEISBAUM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138547

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

A

Last Name

WEISBAUM

Business Name

BRIAN A WEISBAUM

Original Issue Date

10/03/2001

Effective Date

10/03/2001

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005