BRENDA F DORN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201018

License Status

INACTIVE

Business

First Name

BRENDA

Middle

Last Name

DORN

Business Name

BRENDA F DORN

Original Issue Date

10/13/2010

Effective Date

10/13/2010

Expiration Date

03/31/2011

City

FOREST PARK

State

Zip

60130

County

COOK

Ever Disciplined

LastModifiedDate

01/05/2011