BRENDAN TYLER FREITAG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176119

License Status

NOT RENEWED

Business

First Name

BRENDAN

Middle

TYLER

Last Name

FREITAG

Business Name

BRENDAN TYLER FREITAG

Original Issue Date

05/03/2007

Effective Date

02/21/2014

Expiration Date

03/31/2015

City

PLEASANT PLAINS

State

Zip

62677

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2015