BRIAN M RAPHAELSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169753

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

RAPHAELSON

Business Name

BRIAN M RAPHAELSON

Original Issue Date

07/05/2006

Effective Date

02/25/2011

Expiration Date

03/31/2012

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012