BRETT ALAN DEPORTER - Pharmacist License in Illinois | # 049190078

BRETT ALAN DEPORTER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049190078

License Status

NOT RENEWED

Business

N

First Name

BRETT

Middle

ALAN

Last Name

DEPORTER

Business Name

BRETT ALAN DEPORTER

Original Issue Date

03/05/2009

Effective Date

03/05/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010