BRIAN M DACY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154266

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

DACY

Business Name

BRIAN M DACY

Original Issue Date

05/19/2004

Effective Date

05/19/2004

Expiration Date

03/31/2005

City

LAKE FOREST

State

Zip

60045

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005