AMY PATRICIA BRENNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154169

License Status

NOT RENEWED

Business

First Name

AMY

Middle

PATRICIA

Last Name

BRENNER

Business Name

AMY PATRICIA BRENNER

Original Issue Date

04/26/2004

Effective Date

04/26/2004

Expiration Date

03/31/2005

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005