TRACE ALLAN BROWN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201067

License Status

NOT RENEWED

Business

First Name

TRACE

Middle

ALLAN

Last Name

BROWN

Business Name

TRACE ALLAN BROWN

Original Issue Date

10/15/2010

Effective Date

03/28/2011

Expiration Date

03/31/2012

City

DU QUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

05/07/2012