JUSTIN CHARLES BRINK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156506

License Status

NOT RENEWED

Business

First Name

JUSTIN

Middle

CHARLES

Last Name

BRINK

Business Name

JUSTIN CHARLES BRINK

Original Issue Date

08/11/2004

Effective Date

08/11/2004

Expiration Date

03/31/2006

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

05/11/2006