BRENDON TYLER ROBERTS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182523

License Status

NOT RENEWED

Business

First Name

BRENDON

Middle

TYLER

Last Name

ROBERTS

Business Name

BRENDON TYLER ROBERTS

Original Issue Date

03/03/2008

Effective Date

03/03/2008

Expiration Date

03/31/2009

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

05/06/2009