BRYAN J PAYNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152951

License Status

NOT RENEWED

Business

First Name

BRYAN

Middle

Last Name

PAYNE

Business Name

BRYAN J PAYNE

Original Issue Date

01/21/2004

Effective Date

03/29/2011

Expiration Date

03/31/2012

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/07/2012