BEULAH BRENT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162448

License Status

NOT RENEWED

Business

First Name

BEULAH

Last Name

BRENT

Business Name

BEULAH BRENT

Original Issue Date

07/22/2005

Effective Date

07/22/2005

Expiration Date

03/31/2006

City

COUNTRY CLUB HILLS

State

Zip

60478

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006