JEFFREY SCOTT BRIAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162634

License Status

NOT RENEWED

Business

First Name

JEFFREY

Middle

SCOTT

Last Name

BRIAN

Business Name

JEFFREY SCOTT BRIAN

Original Issue Date

08/01/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/14/2007