BRYCEN A SHORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153672

License Status

NOT RENEWED

Business

First Name

BRYCEN

Middle

Last Name

SHORT

Business Name

BRYCEN A SHORT

Original Issue Date

03/15/2004

Effective Date

03/16/2009

Expiration Date

03/31/2010

City

OLNEY

State

Zip

62450

Ever Disciplined

LastModifiedDate

05/04/2010