BRIAN M HAYES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146418

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

HAYES

Business Name

BRIAN M HAYES

Original Issue Date

12/18/2002

Effective Date

12/18/2002

Expiration Date

03/31/2004

City

MUNDELEIN

State

Zip

60060

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005