BRIAN JOSEPH GLEN - Pharmacist License in Illinois | # 049155212

BRIAN JOSEPH GLEN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155212

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

JOSEPH

Last Name

GLEN

Business Name

BRIAN JOSEPH GLEN

Original Issue Date

06/16/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

State

IL

Ever Disciplined

N

LastModifiedDate

05/14/2007