BRYAN C MAYFIELD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188528

License Status

NOT RENEWED

Business

First Name

BRYAN

Middle

Last Name

MAYFIELD

Business Name

BRYAN C MAYFIELD

Original Issue Date

12/04/2008

Effective Date

03/16/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011