BRENT STEVEN MANNS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049164741

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

STEVEN

Last Name

MANNS

Business Name

BRENT STEVEN MANNS

Original Issue Date

11/02/2005

Effective Date

11/02/2005

Expiration Date

03/31/2006

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2006