BRETT A BUSHKIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198321

License Status

NOT RENEWED

Business

First Name

BRETT

Middle

Last Name

BUSHKIN

Business Name

BRETT A BUSHKIN

Original Issue Date

05/12/2010

Effective Date

05/12/2010

Expiration Date

03/31/2011

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

05/12/2011