BROGAN M GUST Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188805

License Status

INACTIVE

Business

First Name

BROGAN

Middle

Last Name

GUST

Prefix

Business Name

BROGAN M GUST

Original Issue Date

12/19/2008

Effective Date

02/23/2009

Expiration Date

03/31/2010

City

ELGIN

State

Zip

60124

County

KANE

Ever Disciplined

LastModifiedDate

01/12/2010