BRIAN W NOVAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179611

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

NOVAK

Prefix

Business Name

BRIAN W NOVAK

Original Issue Date

09/29/2007

Effective Date

09/29/2007

Expiration Date

03/31/2008

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

05/02/2008