BRENT A THOMAS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049186720

License Status

NOT RENEWED

Business

First Name

BRENT

Middle

Last Name

THOMAS

Business Name

BRENT A THOMAS

Original Issue Date

08/28/2008

Effective Date

08/28/2008

Expiration Date

03/31/2009

City

PAWNEE

State

Zip

62558

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2009