BRENT R COULLARD - Pharmacist License in Illinois | # 049149880

BRENT R COULLARD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049149880

License Status

NOT RENEWED

Business

N

First Name

BRENT

Middle

R

Last Name

COULLARD

Business Name

BRENT R COULLARD

Original Issue Date

08/19/2003

Effective Date

03/06/2014

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015