NATHAN W BREWER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147737

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

Last Name

BREWER

Business Name

NATHAN W BREWER

Original Issue Date

04/02/2003

Effective Date

04/02/2003

Expiration Date

03/31/2006

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2006