BRYANT C CROUCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187881

License Status

NOT RENEWED

Business

First Name

BRYANT

Middle

Last Name

CROUCH

Prefix

Business Name

BRYANT C CROUCH

Original Issue Date

10/21/2008

Effective Date

10/21/2008

Expiration Date

03/31/2009

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2009