BRIAN A WEISBAUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049138547

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

WEISBAUM

Business Name

BRIAN A WEISBAUM

Original Issue Date

10/03/2001

Effective Date

10/03/2001

Expiration Date

03/31/2005

City

LONG GROVE

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005