BRIAN WILLIAM ROUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155820

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

WILLIAM

Last Name

ROUS

Business Name

BRIAN WILLIAM ROUS

Original Issue Date

06/28/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

BLOOMINGTON

State

Zip

61705

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/02/2008