BRETT A NOWACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157515

License Status

NOT RENEWED

Business

First Name

BRETT

Middle

Last Name

NOWACK

Business Name

BRETT A NOWACK

Original Issue Date

10/20/2004

Effective Date

10/20/2004

Expiration Date

03/31/2006

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/11/2006