JUSTIN BRYAN MAYNARD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146745

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

BRYAN

Last Name

MAYNARD

Business Name

JUSTIN BRYAN MAYNARD

Original Issue Date

01/14/2003

Effective Date

01/14/2003

Expiration Date

03/31/2004

City

MARISSA

State

Zip

62257

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/20/2005