BRIAN A BETHEA - Pharmacist License in Illinois | # 049162503

BRIAN A BETHEA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162503

License Status

NOT RENEWED

Business

N

First Name

BRIAN

Middle

A

Last Name

BETHEA

Business Name

BRIAN A BETHEA

Original Issue Date

07/26/2005

Effective Date

07/26/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006