BRYAN J BARTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162390

License Status

NOT RENEWED

Business

First Name

BRYAN

Middle

Last Name

BARTH

Business Name

BRYAN J BARTH

Original Issue Date

07/21/2005

Effective Date

03/27/2015

Expiration Date

03/31/2016

City

CHATHAM

State

Zip

62629

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/20/2016